39D2326129 CLIA NUMBER - WILMINATA LLC

Laboratory Demographics

  • CLIA Code: 39D2326129
  • Facility Name: WILMINATA LLC
  • Facility Address: 2243 S FELTON ST
    PHILADELPHIA, PA
    ZIP 19142
  • Facility Phone: 267 495-6799
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HAWANATU KONTEH
  • NPI Number: 1891421889
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2326129
LAB Type Home Health Agency
Facility Name WILMINATA LLC
Street 2243 S FELTON ST
City PHILADELPHIA
State PA
ZIP 19142
Phone 267 495-6799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Home Health Agency
Lab Director HAWANATU KONTEH

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