39D2076389 CLIA NUMBER - THOMAS JEFFERSON UNIV HOSP MOD COMPLEXITY POCT

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Laboratory Demographics

CLIA Number: 39D2076389

Facility Name: THOMAS JEFFERSON UNIV HOSP MOD COMPLEXITY POCT

Facility Address:
117 S 11TH ST SUITE 401 FOERDERER PAVILION
PHILADELPHIA, PA
ZIP 19107
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Facility Phone Number: (215) 955-3941

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1508011313

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	39D2076389
LAB Type	HOSPITAL
Facility Name	THOMAS JEFFERSON UNIV HOSP MOD COMPLEXITY POCT
Street	117 S 11TH ST SUITE 401 FOERDERER PAVILION
City	PHILADELPHIA
State	PA
ZIP	19107
Phone	(215) 955-3941

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This page was last updated on: 5/11/2023