39D2293138 CLIA NUMBER - OMEGA RAY LLC DBA OMEGA RAY HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 39D2293138
  • Facility Name: OMEGA RAY LLC DBA OMEGA RAY HEALTHCARE SERVICES
  • Facility Address: 261 OLD YORK RD, STE 401
    JENKINTOWN, PA
    ZIP 19046
  • Facility Phone: 215 305-9701
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BUKOLA OMOSULE
  • NPI Number: 1609552801
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2293138
LAB Type Home Health Agency
Facility Name OMEGA RAY LLC DBA OMEGA RAY HEALTHCARE SERVICES
Street 261 OLD YORK RD, STE 401
City JENKINTOWN
State PA
ZIP 19046
Phone 215 305-9701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Home Health Agency
Lab Director BUKOLA OMOSULE

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