39D2161576 CLIA NUMBER - PENN ASIAN SENIOR SERVICES, INC

Laboratory Demographics

  • CLIA Code: 39D2161576
  • Facility Name: PENN ASIAN SENIOR SERVICES, INC
  • Facility Address: 6926 OLD YORK ROAD
    PHILADELPHIA, PA
    ZIP 19126
  • Facility Phone: (215) 572-1423
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SOON JUNG
  • NPI Number: 1629017561
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2161576
LAB Type Home Health Agency
Facility Name PENN ASIAN SENIOR SERVICES, INC
Street 6926 OLD YORK ROAD
City PHILADELPHIA
State PA
ZIP 19126
Phone 2155721423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Home Health Agency
Lab Director SOON JUNG

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This page was last updated on: 6/29/2026