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

Laboratory Demographics

CLIA Number: 39D0938396

Facility Name: ST MONICA CTR FOR REHAB & HEALTHCARE

Facility Address:
2509 SOUTH 4TH STREET
PHILADELPHIA, PA
ZIP 19148
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Facility Phone Number: (215) 271-1080

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1780751123

Taxonomy: 332BP3500X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	39D0938396
LAB Type	SKILLED NURSING/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

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This page was last updated on: 5/11/2023