39D0972767 CLIA NUMBER - LIVENGRIN FOUNDATION

Laboratory Demographics

  • CLIA Code: 39D0972767
  • Facility Name: LIVENGRIN FOUNDATION
  • Facility Address: 4833 HULMEVILLE ROAD
    BENSALEM, PA
    ZIP 19020
  • Facility Phone: 215 638-5200
  • Facility Type: Other - NON HOSP DETOX
  • Facility Type: Waiver
  • Lab Director: DR. JAMES W. CORNISH
  • NPI Number: 1194889782
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 39D0972767
LAB Type Other - NON HOSP DETOX
Facility Name LIVENGRIN FOUNDATION
Street 4833 HULMEVILLE ROAD
City BENSALEM
State PA
ZIP 19020
Phone 215 638-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Other - NON HOSP DETOX
Lab Director DR. JAMES W. CORNISH

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