39D2106381 CLIA NUMBER - AMUDIPES BEHAVIORAL HEALTH/EHOMECARE

Laboratory Demographics

  • CLIA Code: 39D2106381
  • Facility Name: AMUDIPES BEHAVIORAL HEALTH/EHOMECARE
  • Facility Address: 111 PRESIDENTIAL BLVD SUITE 244
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 215 858-7685
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. ELLEN AMUDIPE
  • NPI Number: 1720394687
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2106381
LAB Type Home Health Agency
Facility Name AMUDIPES BEHAVIORAL HEALTH/EHOMECARE
Street 111 PRESIDENTIAL BLVD SUITE 244
City BALA CYNWYD
State PA
ZIP 19004
Phone 215 858-7685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Home Health Agency
Lab Director DR. ELLEN AMUDIPE

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