39D2074193 CLIA NUMBER - PROGRESSIVE HEALTH INC

Laboratory Demographics

  • CLIA Code: 39D2074193
  • Facility Name: PROGRESSIVE HEALTH INC
  • Facility Address: 525 WEST CHESTER PIKE SUITE 311A
    HAVERTOWN, PA
    ZIP 19083
  • Facility Phone: 610 789-1001
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FRIDAY OBASEIME
  • NPI Number: 1982490322
  • Taxonomy: 103TM1800X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D2074193
LAB Type Home Health Agency
Facility Name PROGRESSIVE HEALTH INC
Street 525 WEST CHESTER PIKE SUITE 311A
City HAVERTOWN
State PA
ZIP 19083
Phone 610 789-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Home Health Agency
Lab Director FRIDAY OBASEIME

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