39D0907204 CLIA NUMBER - ELIZABETHTOWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D0907204
  • Facility Name: ELIZABETHTOWN DIALYSIS
  • Facility Address: 844 NORTH HANOVER STREET
    ELIZABETHTOWN, PA
    ZIP 17022
  • Facility Phone: 717 361-0151
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JAMES A. GROFF MD
  • NPI Number: 1346628245
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0907204
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELIZABETHTOWN DIALYSIS
Street 844 NORTH HANOVER STREET
City ELIZABETHTOWN
State PA
ZIP 17022
Phone 717 361-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JAMES A. GROFF MD

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