31D1087715 CLIA NUMBER - PENNSAUKEN DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 31D1087715
  • Facility Name: PENNSAUKEN DIALYSIS CENTER
  • Facility Address: 7024 KAIGHN AVENUE
    PENNSAUKEN, NJ
    ZIP 08109
  • Facility Phone: 856 486-1145
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. SIROVER
  • NPI Number: 1730352329
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1087715
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PENNSAUKEN DIALYSIS CENTER
Street 7024 KAIGHN AVENUE
City PENNSAUKEN
State NJ
ZIP 08109
Phone 856 486-1145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM D. SIROVER

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