39D0902479 CLIA NUMBER - GARDEN SPRING NRSING & REHAB CTR

Laboratory Demographics

  • CLIA Code: 39D0902479
  • Facility Name: GARDEN SPRING NRSING & REHAB CTR
  • Facility Address: 1113 EASTON ROAD
    WILLOW GROVE, PA
    ZIP 19090
  • Facility Phone: 215 659-3060
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. PHOUNG T. TIEN
  • NPI Number: 1780173690
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0902479
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GARDEN SPRING NRSING & REHAB CTR
Street 1113 EASTON ROAD
City WILLOW GROVE
State PA
ZIP 19090
Phone 215 659-3060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. PHOUNG T. TIEN

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This page was last updated on: 9/29/2025