39D0939821 CLIA NUMBER - THORN RUN DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D0939821
  • Facility Name: THORN RUN DIALYSIS
  • Facility Address: 1136 THORN RUN ROAD SUITE J1
    MOON TOWNSHIP, PA
    ZIP 15108
  • Facility Phone: 412 269-2304
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA E. KHALIL
  • NPI Number: 1114153665
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0939821
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name THORN RUN DIALYSIS
Street 1136 THORN RUN ROAD SUITE J1
City MOON TOWNSHIP
State PA
ZIP 15108
Phone 412 269-2304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PATRICIA E. KHALIL

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