39D1045543 CLIA NUMBER - REHAB AT SHANNONDELL

Laboratory Demographics

  • CLIA Code: 39D1045543
  • Facility Name: REHAB AT SHANNONDELL
  • Facility Address: 5000 SHANNONDELL DRIVE
    AUDUBON, PA
    ZIP 19403
  • Facility Phone: 610 728-5241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. PAYCE J. HANDLER
  • NPI Number: 1972982247
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1045543
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REHAB AT SHANNONDELL
Street 5000 SHANNONDELL DRIVE
City AUDUBON
State PA
ZIP 19403
Phone 610 728-5241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. PAYCE J. HANDLER

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