39D1056616 CLIA NUMBER - LIBERTY DIALYSIS-HOPEWELL

Laboratory Demographics

CLIA Number: 39D1056616

Facility Name: LIBERTY DIALYSIS-HOPEWELL

Facility Address:
400 CORPORATION DRIVE
ALIQUIPPA, PA
ZIP 15001
Get Directions

Facility Phone Number: 724 378-6304

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407898075

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1056616
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	LIBERTY DIALYSIS-HOPEWELL
Street	400 CORPORATION DRIVE
City	ALIQUIPPA
State	PA
ZIP	15001
Phone	724 378-6304
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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