39D1076406 CLIA NUMBER - REVOLUTIONARY HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 39D1076406
  • Facility Name: REVOLUTIONARY HOME HEALTH INC
  • Facility Address: 829 SCRANTON CARBONDALE HWY
    EYNON, PA
    ZIP 18403
  • Facility Phone: 570 383-7502
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. TIMOTHY BROWNELL
  • NPI Number: 1366725673
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1076406
LAB Type Home Health Agency
Facility Name REVOLUTIONARY HOME HEALTH INC
Street 829 SCRANTON CARBONDALE HWY
City EYNON
State PA
ZIP 18403
Phone 570 383-7502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Home Health Agency
Lab Director MS. TIMOTHY BROWNELL

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