39D0985724 CLIA NUMBER - RENFREW CENTERS INC,THE

Laboratory Demographics

CLIA Number: 39D0985724

Facility Name: RENFREW CENTERS INC,THE

Facility Address:
475 SPRING LANE
PHILADELPHIA, PA
ZIP 19128
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Facility Phone Number: 215 482-5353

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1881158988

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	39D0985724
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	RENFREW CENTERS INC,THE
Street	475 SPRING LANE
City	PHILADELPHIA
State	PA
ZIP	19128
Phone	215 482-5353
CertificateType	4
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024