39D2214222 CLIA NUMBER - BIRDSBORO LODGE SENIOR LIVING

Laboratory Demographics

CLIA Number: 39D2214222

Facility Name: BIRDSBORO LODGE SENIOR LIVING

Facility Address:
6740 DANIEL BOONE ROAD
BIRDSBORO, PA
ZIP 19508
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Facility Phone Number: 610 575-0851

Facility Type: Other - PERSONAL CARE HOME

Certificate Type: Waiver

NPI Number: 1891799326

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	39D2214222
LAB Type	Other - PERSONAL CARE HOME
Facility Name	BIRDSBORO LODGE SENIOR LIVING
Street	6740 DANIEL BOONE ROAD
City	BIRDSBORO
State	PA
ZIP	19508
Phone	610 575-0851
CertificateType	4
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	Waiver

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