39D2309852 CLIA NUMBER - RECOVERY HOME LLC

Laboratory Demographics

  • CLIA Code: 39D2309852
  • Facility Name: RECOVERY HOME LLC
  • Facility Address: 225 E CITY AVE, SUITE 109
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 267 856-7300
  • Facility Type: Other - OUTPATIENT D&A FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW YOUSSOUF
  • NPI Number: 1588419691
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2309852
LAB Type Other - OUTPATIENT D&A FACILITY
Facility Name RECOVERY HOME LLC
Street 225 E CITY AVE, SUITE 109
City BALA CYNWYD
State PA
ZIP 19004
Phone 267 856-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Other - OUTPATIENT D&A FACILITY
Lab Director DR. ANDREW YOUSSOUF

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