39D1042645 CLIA NUMBER - MARKET STREET DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D1042645
  • Facility Name: MARKET STREET DIALYSIS
  • Facility Address: 3701 MARKET STREET SUITE 100
    PHILADELPHIA, PA
    ZIP 19104
  • Facility Phone: 215 387-2658
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YONGHONG HUAN MD
  • NPI Number: 1144282021
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1042645
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MARKET STREET DIALYSIS
Street 3701 MARKET STREET SUITE 100
City PHILADELPHIA
State PA
ZIP 19104
Phone 215 387-2658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2023
Certificate Expiration Date 7/4/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YONGHONG HUAN MD

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This page was last updated on: 6/4/2025