39D0926887 CLIA NUMBER - DIALYSIS CLINIC INC GROVE CITY

Laboratory Demographics

  • CLIA Code: 39D0926887
  • Facility Name: DIALYSIS CLINIC INC GROVE CITY
  • Facility Address: 631 BROAD STREET EXTENSION
    GROVE CITY, PA
    ZIP 16127
  • Facility Phone: 724 458-0877
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GABRIEL T. WEINBERG
  • NPI Number: 1225061609
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0926887
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC GROVE CITY
Street 631 BROAD STREET EXTENSION
City GROVE CITY
State PA
ZIP 16127
Phone 724 458-0877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GABRIEL T. WEINBERG

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