39D0964726 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 39D0964726
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 1143 INDUSTRIAL PARK ROAD
    VANDERGRIFT, PA
    ZIP 15690
  • Facility Phone: 724 845-3313
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. YAN DORNEICH
  • NPI Number: 1043239288
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0964726
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 1143 INDUSTRIAL PARK ROAD
City VANDERGRIFT
State PA
ZIP 15690
Phone 724 845-3313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. YAN DORNEICH

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