39D0993412 CLIA NUMBER - MONUMENTAL POST ACUTE CARE

Laboratory Demographics

  • CLIA Code: 39D0993412
  • Facility Name: MONUMENTAL POST ACUTE CARE
  • Facility Address: 4001 FORD ROAD
    PHILADELPHIA, PA
    ZIP 19131
  • Facility Phone: 215 877-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERRY A. COHEN
  • NPI Number: 1972080034
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D0993412
LAB Type Physician Office
Facility Name MONUMENTAL POST ACUTE CARE
Street 4001 FORD ROAD
City PHILADELPHIA
State PA
ZIP 19131
Phone 215 877-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director DR. JERRY A. COHEN

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