31D2143171 CLIA NUMBER - MERCHANTVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2143171
  • Facility Name: MERCHANTVILLE DIALYSIS
  • Facility Address: 5000 N CRESCENT BLVD SUITE 1A
    PENNSAUKEN, NJ
    ZIP 08109
  • Facility Phone: 856 910-8798
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JASON A. KLINE
  • NPI Number: 1194230441
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2143171
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MERCHANTVILLE DIALYSIS
Street 5000 N CRESCENT BLVD SUITE 1A
City PENNSAUKEN
State NJ
ZIP 08109
Phone 856 910-8798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JASON A. KLINE

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