39D2053985 CLIA NUMBER - ESPERANZA HEALTH CENTER

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Laboratory Demographics

CLIA Number: 39D2053985

Facility Name: ESPERANZA HEALTH CENTER

Facility Address:
861 E ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134
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Facility Phone Number: 215 831-1100

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1306896394

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2053985
LAB Type	Home Health Agency
Facility Name	ESPERANZA HEALTH CENTER
Street	861 E ALLEGHENY AVE
City	PHILADELPHIA
State	PA
ZIP	19134
Phone	215 831-1100
CertificateType	4
CertificateEffectiveDate	2/12/2023
CertificateExpirationDate	2/11/2025
FacilityType	Waiver

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