39D0974575 CLIA NUMBER - SOUTHERNCARE, INC DBA HEARTLAND HOSPICE (ALLENTOWN)

Laboratory Demographics

  • CLIA Code: 39D0974575
  • Facility Name: SOUTHERNCARE, INC DBA HEARTLAND HOSPICE (ALLENTOWN)
  • Facility Address: 951 MARCON BLVD, SUITE 3
    ALLENTOWN, PA
    ZIP 18109
  • Facility Phone: 610 266-0134
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1457050973
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D0974575
LAB Type Hospice
Facility Name SOUTHERNCARE, INC DBA HEARTLAND HOSPICE (ALLENTOWN)
Street 951 MARCON BLVD, SUITE 3
City ALLENTOWN
State PA
ZIP 18109
Phone 610 266-0134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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