39D2201853 CLIA NUMBER - HOLISTICARE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 39D2201853
  • Facility Name: HOLISTICARE HOSPICE LLC
  • Facility Address: 985 OLD EAGLE SCHOOL RD, STE 504
    WAYNE, PA
    ZIP 19087
  • Facility Phone: 610 995-0100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL F. CARNUCCIO
  • NPI Number: 1932473857
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D2201853
LAB Type Hospice
Facility Name HOLISTICARE HOSPICE LLC
Street 985 OLD EAGLE SCHOOL RD, STE 504
City WAYNE
State PA
ZIP 19087
Phone 610 995-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Hospice
Lab Director DR. MICHAEL F. CARNUCCIO

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