39D0932670 CLIA NUMBER - LAFAYETTE REDEEMER,THE

Laboratory Demographics

  • CLIA Code: 39D0932670
  • Facility Name: LAFAYETTE REDEEMER,THE
  • Facility Address: 8580 VERREE ROAD
    PHILADELPHIA, PA
    ZIP 19111
  • Facility Phone: 215 214-2847
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK MULLEN MD
  • NPI Number: 1487644225
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0932670
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAFAYETTE REDEEMER,THE
Street 8580 VERREE ROAD
City PHILADELPHIA
State PA
ZIP 19111
Phone 215 214-2847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK MULLEN MD

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