39D0862592 CLIA NUMBER - JEFFERSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D0862592
  • Facility Name: JEFFERSON DIALYSIS
  • Facility Address: 14 CLAIRTON BOULEVARD
    PITTSBURGH, PA
    ZIP 15236
  • Facility Phone: (412) 653-6007
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT N. MITRO MD
  • NPI Number: 1285696153
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0862592
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JEFFERSON DIALYSIS
Street 14 CLAIRTON BOULEVARD
City PITTSBURGH
State PA
ZIP 15236
Phone 4126536007
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 ROBERT N. MITRO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026