39D2058419 CLIA NUMBER - FIDELITY HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 39D2058419
  • Facility Name: FIDELITY HOME HEALTH LLC
  • Facility Address: 83 BUSTLETON PIKE, UNIT C
    FEASTERVILLE, PA
    ZIP 19053
  • Facility Phone: 215 710-0515
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: YELENA K. KUZNETSOV
  • NPI Number: 1831708809
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2058419
LAB Type Home Health Agency
Facility Name FIDELITY HOME HEALTH LLC
Street 83 BUSTLETON PIKE, UNIT C
City FEASTERVILLE
State PA
ZIP 19053
Phone 215 710-0515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Home Health Agency
Lab Director YELENA K. KUZNETSOV

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