39D0914984 CLIA NUMBER - ABINGTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D0914984
  • Facility Name: ABINGTON DIALYSIS
  • Facility Address: 3940A COMMERCE DRIVE
    WILLOW GROVE, PA
    ZIP 19090
  • Facility Phone: 215 830-1115
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. VICTOR E. GHANTOUS
  • NPI Number: 1548825243
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D0914984
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ABINGTON DIALYSIS
Street 3940A COMMERCE DRIVE
City WILLOW GROVE
State PA
ZIP 19090
Phone 215 830-1115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. VICTOR E. GHANTOUS

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