39D1061309 CLIA NUMBER - LIBERTY DIALYSIS-BADEN

Laboratory Demographics

  • CLIA Code: 39D1061309
  • Facility Name: LIBERTY DIALYSIS-BADEN
  • Facility Address: 1682 STATE STREET
    BADEN, PA
    ZIP 15005
  • Facility Phone: 724 869-2830
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALLEN I. WOLFERT
  • NPI Number: 1962444604
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1061309
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS-BADEN
Street 1682 STATE STREET
City BADEN
State PA
ZIP 15005
Phone 724 869-2830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ALLEN I. WOLFERT

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