39D2291687 CLIA NUMBER - MOBILE MED TECHS LLC

Laboratory Demographics

  • CLIA Code: 39D2291687
  • Facility Name: MOBILE MED TECHS LLC
  • Facility Address: 1821 N 77TH STREET
    PHILADELPHIA, PA
    ZIP 19151
  • Facility Phone: 267 997-4689
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. JASMINE POOLE
  • NPI Number: 1891340139
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2291687
LAB Type Home Health Agency
Facility Name MOBILE MED TECHS LLC
Street 1821 N 77TH STREET
City PHILADELPHIA
State PA
ZIP 19151
Phone 267 997-4689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Home Health Agency
Lab Director DR. JASMINE POOLE

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