39D0938396 CLIA NUMBER - ST MONICA CTR FOR REHAB & HEALTHCARE

Laboratory Demographics

  • CLIA Code: 39D0938396
  • Facility Name: ST MONICA CTR FOR REHAB & HEALTHCARE
  • Facility Address: 2509 SOUTH 4TH STREET
    PHILADELPHIA, PA
    ZIP 19148
  • Facility Phone: 215 271-1080
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PETER HONIG DO
  • NPI Number: 1780751123
  • Taxonomy: 332BP3500X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 39D0938396
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST MONICA CTR FOR REHAB & HEALTHCARE
Street 2509 SOUTH 4TH STREET
City PHILADELPHIA
State PA
ZIP 19148
Phone 215 271-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PETER HONIG DO

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