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39D2066479 CLIA NUMBER - MORAVIA HEALTH NETWORK

Laboratory Demographics

CLIA Number: 39D2066479

Facility Name: MORAVIA HEALTH NETWORK

Facility Address:
1500 WALNUT STREET SUITE 700
PHILADELPHIA, PA
ZIP 19102
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Facility Phone Number: 215 717-8650

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1477830305

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 39D2066479
LAB Type Home Health Agency
Facility Name MORAVIA HEALTH NETWORK
Street 1500 WALNUT STREET SUITE 700
City PHILADELPHIA
State PA
ZIP 19102
Phone 215 717-8650
CertificateType 4
CertificateEffectiveDate 9/27/2023
CertificateExpirationDate 9/26/2025
FacilityType Waiver

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