39D1020291 CLIA NUMBER - GOLDEN HEALTH SERVICES

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Laboratory Demographics

CLIA Number: 39D1020291

Facility Name: GOLDEN HEALTH SERVICES

Facility Address:
2100 SCATTERGOOD STREET
PHILADELPHIA, PA
ZIP 19124
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Facility Phone Number: 215 289-9005

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1093782260

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	39D1020291
LAB Type	Home Health Agency
Facility Name	GOLDEN HEALTH SERVICES
Street	2100 SCATTERGOOD STREET
City	PHILADELPHIA
State	PA
ZIP	19124
Phone	215 289-9005
CertificateType	4
CertificateEffectiveDate	12/16/2023
CertificateExpirationDate	12/15/2025
FacilityType	Waiver

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