39D1060546 CLIA NUMBER - BRISTOL DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 39D1060546
  • Facility Name: BRISTOL DIALYSIS LLC
  • Facility Address: 1900 FROST ROAD
    BRISTOL, PA
    ZIP 19007
  • Facility Phone: (215) 785-0382
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GARY R. SIRKEN
  • NPI Number: 1669490199
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1060546
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRISTOL DIALYSIS LLC
Street 1900 FROST ROAD
City BRISTOL
State PA
ZIP 19007
Phone 2157850382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GARY R. SIRKEN

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