39D1009288 CLIA NUMBER - VITACARE HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 39D1009288
  • Facility Name: VITACARE HOME HEALTH INC
  • Facility Address: 255 EAST STREET ROAD
    FEASTERVILLE, PA
    ZIP 19053
  • Facility Phone: 215 953-9225
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARINA POLTAVSKIY
  • NPI Number: 1750529145
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D1009288
LAB Type Home Health Agency
Facility Name VITACARE HOME HEALTH INC
Street 255 EAST STREET ROAD
City FEASTERVILLE
State PA
ZIP 19053
Phone 215 953-9225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Home Health Agency
Lab Director MARINA POLTAVSKIY

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