39D1003336 CLIA NUMBER - PHYSICIANS DIALYSIS INC

Laboratory Demographics

  • CLIA Code: 39D1003336
  • Facility Name: PHYSICIANS DIALYSIS INC
  • Facility Address: 834 WALNUT STREET WALNUT TOWERS
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: (215) 629-1490
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. YONGHONG HUAN
  • NPI Number: 1396707113
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1003336
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PHYSICIANS DIALYSIS INC
Street 834 WALNUT STREET WALNUT TOWERS
City PHILADELPHIA
State PA
ZIP 19107
Phone 2156291490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. YONGHONG HUAN

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This page was last updated on: 5/18/2026