39D0708325 CLIA NUMBER - PHYSICIANS DIALYSIS CENTER DBA FRESENIUS MEDICAL CARE HERMITAGE

Laboratory Demographics

  • CLIA Code: 39D0708325
  • Facility Name: PHYSICIANS DIALYSIS CENTER DBA FRESENIUS MEDICAL CARE HERMITAGE
  • Facility Address: 3036 INNOVATION WAY
    HERMITAGE, PA
    ZIP 16148
  • Facility Phone: 724 981-1328
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHRISTOPER A. ENOCH DO
  • NPI Number: 1396849170
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0708325
LAB Type Other
Facility Name PHYSICIANS DIALYSIS CENTER DBA FRESENIUS MEDICAL CARE HERMITAGE
Street 3036 INNOVATION WAY
City HERMITAGE
State PA
ZIP 16148
Phone 724 981-1328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Other
Lab Director CHRISTOPER A. ENOCH DO

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