39D0907215 CLIA NUMBER - IMMEDIATE HOMECARE LLC D/B/A IMMEDIATE HOMECARE AND HOSPICE

Laboratory Demographics

  • CLIA Code: 39D0907215
  • Facility Name: IMMEDIATE HOMECARE LLC D/B/A IMMEDIATE HOMECARE AND HOSPICE
  • Facility Address: 3901 MARKET ST
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 638-2223
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PATRICIA H. DULLEK
  • NPI Number: 1982095568
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0907215
LAB Type Home Health Agency
Facility Name IMMEDIATE HOMECARE LLC D/B/A IMMEDIATE HOMECARE AND HOSPICE
Street 3901 MARKET ST
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 638-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Home Health Agency
Lab Director PATRICIA H. DULLEK

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