39D2237402 CLIA NUMBER - ECHO HOSPICE OF PENNSYLVANIA, LLC

Laboratory Demographics

CLIA Number: 39D2237402

Facility Name: ECHO HOSPICE OF PENNSYLVANIA, LLC

Facility Address:
417 N 8TH STREET, STE 400
PHILADELPHIA, PA
ZIP 19107
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Facility Phone Number: 267 551-5708

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1740867829

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	39D2237402
LAB Type	Hospice
Facility Name	ECHO HOSPICE OF PENNSYLVANIA, LLC
Street	417 N 8TH STREET, STE 400
City	PHILADELPHIA
State	PA
ZIP	19107
Phone	267 551-5708
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

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