39D2076154 CLIA NUMBER - BLUE BELL PLACE

Laboratory Demographics

  • CLIA Code: 39D2076154
  • Facility Name: BLUE BELL PLACE
  • Facility Address: 777 DEKALB PIKE
    BLUE BELL, PA
    ZIP 19422
  • Facility Phone: 610 277-6443
  • Facility Type: Other - PERSONAL CARE HOME
  • Facility Type: Waiver
  • Lab Director: ROXANNE JEFFERSON
  • NPI Number: 1417441692
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 39D2076154
LAB Type Other - PERSONAL CARE HOME
Facility Name BLUE BELL PLACE
Street 777 DEKALB PIKE
City BLUE BELL
State PA
ZIP 19422
Phone 610 277-6443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Other - PERSONAL CARE HOME
Lab Director ROXANNE JEFFERSON

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