39D2298241 CLIA NUMBER - SPECIALIZED NURSING SERVICE INC

Laboratory Demographics

  • CLIA Code: 39D2298241
  • Facility Name: SPECIALIZED NURSING SERVICE INC
  • Facility Address: 1813 PLYMOUTH ST
    PHILADELPHIA, PA
    ZIP 19126
  • Facility Phone: 267 342-3292
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NICOLE WASHINGTON
  • NPI Number: 1447948831
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2298241
LAB Type Home Health Agency
Facility Name SPECIALIZED NURSING SERVICE INC
Street 1813 PLYMOUTH ST
City PHILADELPHIA
State PA
ZIP 19126
Phone 267 342-3292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Home Health Agency
Lab Director NICOLE WASHINGTON

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