39D1107295 CLIA NUMBER - LAURENS HOUSE

Laboratory Demographics

CLIA Number: 39D1107295

Facility Name: LAURENS HOUSE

Facility Address:
1318 W CLEARFIELD STREET
PHILADELPHIA, PA
ZIP 19132
Get Directions

Facility Phone Number: 888 340-9430

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1699813063

Taxonomy: 261QM3000X - Clinic/Center
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

CLIA Record

Field Name	Field Value
CLIA Number	39D1107295
LAB Type	Other
Facility Name	LAURENS HOUSE
Street	1318 W CLEARFIELD STREET
City	PHILADELPHIA
State	PA
ZIP	19132
Phone	888 340-9430
CertificateType	4
CertificateEffectiveDate	11/2/2023
CertificateExpirationDate	11/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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