39D1100848 CLIA NUMBER - WEST GROVE HOME CARE LLC DBA BRANDYWINE RIVER VALLEY HOSPICE

Laboratory Demographics

  • CLIA Code: 39D1100848
  • Facility Name: WEST GROVE HOME CARE LLC DBA BRANDYWINE RIVER VALLEY HOSPICE
  • Facility Address: 1011 W BALTIMORE PIKE, SUITE 208
    WEST GROVE, PA
    ZIP 19390
  • Facility Phone: 610 998-1700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL N. DURAN
  • NPI Number: 1013198019
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D1100848
LAB Type Hospice
Facility Name WEST GROVE HOME CARE LLC DBA BRANDYWINE RIVER VALLEY HOSPICE
Street 1011 W BALTIMORE PIKE, SUITE 208
City WEST GROVE
State PA
ZIP 19390
Phone 610 998-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Hospice
Lab Director DR. DANIEL N. DURAN

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