DELAWARE COUNTY HEALTHCARE CLINIC
NPI 1417412586
Clinic/Center - Methadone in Lansdowne, PA
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 39D2253489
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 02-21-2028
About DELAWARE COUNTY HEALTHCARE CLINIC
This page provides the complete NPI Profile along with additional information for Delaware County Healthcare Clinic, a provider established in Lansdowne, Pennsylvania operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1417412586 assigned on February 2019. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Delaware County Healthcare Clinic. The authorized official of this NPI record is Mark Gallihue (Corporate Director, Patient Account)
- NPI
- 1417412586 Verify this NPI
- Provider Legal Name
- RCA MAT PA LLC
- Other Organization Name
- DELAWARE COUNTY HEALTHCARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 53 N UNION AVE LANSDOWNE, PA 19050
- Location Phone
- (610) 994-2968
- Mailing Address
- 2701 RENAISSANCE BLVD FL 4 KING OF PRUSSIA, PA 19406
- Mailing Phone
- (610) 994-2968
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2019
- Last Update Date
- 08-10-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2253489
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- February 22, 2026
- Certificate Expiration Date
- February 21, 2028
- Laboratory Director
- DR. DEBORAH A. KAHAL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Delaware County Healthcare Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
LANSDOWNE, PA 19050
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417412586, enumerated as an "organization" on February 04, 2019.
The provider is located at 53 N UNION AVE LANSDOWNE, PA 19050 and the phone number is (610) 994-2968.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
