39D1021122 CLIA NUMBER - MIRMONT TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 39D1021122
  • Facility Name: MIRMONT TREATMENT CENTER
  • Facility Address: 100 YEARSLEY MILL ROAD
    MEDIA, PA
    ZIP 19063
  • Facility Phone: 484 227-1400
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL A. NEFF
  • NPI Number: 1386713642
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D1021122
LAB Type Other
Facility Name MIRMONT TREATMENT CENTER
Street 100 YEARSLEY MILL ROAD
City MEDIA
State PA
ZIP 19063
Phone 484 227-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Other
Lab Director DR. DANIEL A. NEFF

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