39D2321645 CLIA NUMBER - CONSTELLATION HOSPICE PA, LLC

Laboratory Demographics

  • CLIA Code: 39D2321645
  • Facility Name: CONSTELLATION HOSPICE PA, LLC
  • Facility Address: 10125 VEREE RD
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 302-2003
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL BUXBAUM
  • NPI Number: 1407335706
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 39D2321645
LAB Type Hospice
Facility Name CONSTELLATION HOSPICE PA, LLC
Street 10125 VEREE RD
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 302-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Hospice
Lab Director MICHAEL BUXBAUM

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