39D0877230 CLIA NUMBER - DIALYSIS CLINIC INCORPORATED

Laboratory Demographics

  • CLIA Code: 39D0877230
  • Facility Name: DIALYSIS CLINIC INCORPORATED
  • Facility Address: 3300 HENRY AVENUE
    PHILADELPHIA, PA
    ZIP 19129
  • Facility Phone: 215 848-3127
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ZIAUDDIN AHMED MD
  • NPI Number: 1487687869
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0877230
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INCORPORATED
Street 3300 HENRY AVENUE
City PHILADELPHIA
State PA
ZIP 19129
Phone 215 848-3127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ZIAUDDIN AHMED MD

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