39D0657846 CLIA NUMBER - NORTHERN PHILADELPHIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D0657846
  • Facility Name: NORTHERN PHILADELPHIA DIALYSIS
  • Facility Address: 5933 39 N BROAD ST
    PHILADELPHIA, PA
    ZIP 19141
  • Facility Phone: 215 549-5000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RASIB RAJA MD
  • NPI Number: 1336195742
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0657846
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHERN PHILADELPHIA DIALYSIS
Street 5933 39 N BROAD ST
City PHILADELPHIA
State PA
ZIP 19141
Phone 215 549-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RASIB RAJA MD

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