39D2284854 CLIA NUMBER - SUPREME NURSES LLC

Laboratory Demographics

  • CLIA Code: 39D2284854
  • Facility Name: SUPREME NURSES LLC
  • Facility Address: 133 HEATHER ROAD, SUITE 202
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 585 355-0155
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHARON BOLAJI-THOMAS
  • NPI Number: 1700584299
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2284854
LAB Type Home Health Agency
Facility Name SUPREME NURSES LLC
Street 133 HEATHER ROAD, SUITE 202
City BALA CYNWYD
State PA
ZIP 19004
Phone 585 355-0155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Home Health Agency
Lab Director SHARON BOLAJI-THOMAS

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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