39D1104860 CLIA NUMBER - DEER MEADOWS HOME HEALTH AND SUPPORT SERVICES LLC

Laboratory Demographics

  • CLIA Code: 39D1104860
  • Facility Name: DEER MEADOWS HOME HEALTH AND SUPPORT SERVICES LLC
  • Facility Address: 8301 ROOSEVELT BOULEVARD
    PHILADELPHIA, PA
    ZIP 19152
  • Facility Phone: 215 624-6038
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: STANLEY RYNKIEWCZ RN
  • NPI Number: 1396148706
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D1104860
LAB Type Home Health Agency
Facility Name DEER MEADOWS HOME HEALTH AND SUPPORT SERVICES LLC
Street 8301 ROOSEVELT BOULEVARD
City PHILADELPHIA
State PA
ZIP 19152
Phone 215 624-6038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Home Health Agency
Lab Director STANLEY RYNKIEWCZ RN

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