39D2219509 CLIA NUMBER - KENSINGTON HOSPITAL

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Laboratory Demographics

CLIA Number: 39D2219509

Facility Name: KENSINGTON HOSPITAL

Facility Address:
136 W DIAMOND STREET
PHILADELPHIA, PA
ZIP 19122
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Facility Phone Number: 215 426-8100

Facility Type: Health Fair

Certificate Type: Waiver

NPI Number: 1144378530

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	39D2219509
LAB Type	Health Fair
Facility Name	KENSINGTON HOSPITAL
Street	136 W DIAMOND STREET
City	PHILADELPHIA
State	PA
ZIP	19122
Phone	215 426-8100
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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