39D0995063 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 39D0995063
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 158 ELMWOOD DRIVE
    PUNXSUTAWNEY, PA
    ZIP 15767
  • Facility Phone: 814 938-9045
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SAMUEL C. BAROODY
  • NPI Number: 1962435446
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0995063
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 158 ELMWOOD DRIVE
City PUNXSUTAWNEY
State PA
ZIP 15767
Phone 814 938-9045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SAMUEL C. BAROODY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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