39D2156125 CLIA NUMBER - 365 HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 39D2156125
  • Facility Name: 365 HEALTH SERVICES, LLC
  • Facility Address: 301 E CITY AVENUE, STE 300
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 610 632-6550
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEENA C. PACK
  • NPI Number: 1649755943
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2156125
LAB Type Home Health Agency
Facility Name 365 HEALTH SERVICES, LLC
Street 301 E CITY AVENUE, STE 300
City BALA CYNWYD
State PA
ZIP 19004
Phone 610 632-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Home Health Agency
Lab Director DEENA C. PACK

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