39D0983879 CLIA NUMBER - HUNTINGDON VALLEY DIALYSIS

Laboratory Demographics

CLIA Number: 39D0983879

Facility Name: HUNTINGDON VALLEY DIALYSIS

Facility Address:
769 HUNTINGDON PIKE
HUNTINGDON VALLEY, PA
ZIP 19006
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Facility Phone Number: 215 379-1788

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1467985077

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	39D0983879
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HUNTINGDON VALLEY DIALYSIS
Street	769 HUNTINGDON PIKE
City	HUNTINGDON VALLEY
State	PA
ZIP	19006
Phone	215 379-1788
CertificateType	4
CertificateEffectiveDate	3/8/2023
CertificateExpirationDate	3/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024