39D0903818 CLIA NUMBER - MONTICELLO HOUSE

Laboratory Demographics

  • CLIA Code: 39D0903818
  • Facility Name: MONTICELLO HOUSE
  • Facility Address: 1048 WEST BALTIMORE PIKE
    MEDIA, PA
    ZIP 19063
  • Facility Phone: 610 891-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH D. HOPE
  • NPI Number: 1679570196
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0903818
LAB Type Physician Office
Facility Name MONTICELLO HOUSE
Street 1048 WEST BALTIMORE PIKE
City MEDIA
State PA
ZIP 19063
Phone 610 891-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director DR. JOSEPH D. HOPE

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