Healther Providers Data Logo

39D2203194 CLIA NUMBER - PEDIATRIC SPECIALTY CARE PHILADELPHIA

Laboratory Demographics

CLIA Number: 39D2203194

Facility Name: PEDIATRIC SPECIALTY CARE PHILADELPHIA

Facility Address:
3301 SCOTTS LANE
PHILADELPHIA, PA
ZIP 19129
Get Directions

Facility Phone Number: 215 621-6155

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver
NPI Number: 1477985372

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name Field Value
CLIA Number 39D2203194
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PEDIATRIC SPECIALTY CARE PHILADELPHIA
Street 3301 SCOTTS LANE
City PHILADELPHIA
State PA
ZIP 19129
Phone 215 621-6155
CertificateType 4
CertificateEffectiveDate 12/3/2022
CertificateExpirationDate 12/2/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024