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39D0920873 CLIA NUMBER - MAXIM HEALTHCARE SERVICES, INC

Laboratory Demographics

CLIA Number: 39D0920873

Facility Name: MAXIM HEALTHCARE SERVICES, INC

Facility Address:
1 BELMONT AVE, SUITE 800
BALA CYNWYD, PA
ZIP 19004
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Facility Phone Number: 610 617-8766

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1174556195

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 39D0920873
LAB Type Physician Office
Facility Name MAXIM HEALTHCARE SERVICES, INC
Street 1 BELMONT AVE, SUITE 800
City BALA CYNWYD
State PA
ZIP 19004
Phone 610 617-8766
CertificateType 4
CertificateEffectiveDate 10/28/2023
CertificateExpirationDate 10/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024