39D1054547 CLIA NUMBER - WT HOSPICE HOLDINGS LLC - DBA/WILLOW TREE HOSPICE

Laboratory Demographics

  • CLIA Code: 39D1054547
  • Facility Name: WT HOSPICE HOLDINGS LLC - DBA/WILLOW TREE HOSPICE
  • Facility Address: 616 E CYPRESS STREET
    KENNETT SQUARE, PA
    ZIP 19348
  • Facility Phone: 610 444-8733
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MANJEET KAUR
  • NPI Number: 1780053611
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D1054547
LAB Type Hospice
Facility Name WT HOSPICE HOLDINGS LLC - DBA/WILLOW TREE HOSPICE
Street 616 E CYPRESS STREET
City KENNETT SQUARE
State PA
ZIP 19348
Phone 610 444-8733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Hospice
Lab Director MANJEET KAUR

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This page was last updated on: 6/4/2025