39D1060542 CLIA NUMBER - WALLINGFORD SKILLED NSG & REHAB

Laboratory Demographics

CLIA Number: 39D1060542

Facility Name: WALLINGFORD SKILLED NSG & REHAB

Facility Address:
115 SOUTH PROVIDENCE ROAD
WALLINGFORD, PA
ZIP 19086
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Facility Phone Number: 610 565-3232

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1265838379

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1060542
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WALLINGFORD SKILLED NSG & REHAB
Street	115 SOUTH PROVIDENCE ROAD
City	WALLINGFORD
State	PA
ZIP	19086
Phone	610 565-3232
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

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