39D2230070 CLIA NUMBER - MARY ELIZABETH NURSING SERVICES, INC

Laboratory Demographics

  • CLIA Code: 39D2230070
  • Facility Name: MARY ELIZABETH NURSING SERVICES, INC
  • Facility Address: 2622 POPLAR STREET (1ST FLOOR)
    PHILADELPHIA, PA
    ZIP 19130
  • Facility Phone: 215 455-4104
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SANUL CORRIELUS
  • NPI Number: 1023690096
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2230070
LAB Type Home Health Agency
Facility Name MARY ELIZABETH NURSING SERVICES, INC
Street 2622 POPLAR STREET (1ST FLOOR)
City PHILADELPHIA
State PA
ZIP 19130
Phone 215 455-4104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Home Health Agency
Lab Director SANUL CORRIELUS

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