39D2066479 CLIA NUMBER - MORAVIA HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 39D2066479
  • Facility Name: MORAVIA HEALTH NETWORK
  • Facility Address: 1500 WALNUT STREET SUITE 700
    PHILADELPHIA, PA
    ZIP 19102
  • Facility Phone: 215 717-8650
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHUKWUDI IGWE
  • NPI Number: 1477830305
  • Taxonomy: 251E00000X - Home Health

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Home Health Agency
Lab Director CHUKWUDI IGWE

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