39D1065733 CLIA NUMBER - LIBERTY DIALYSIS CHIPPEWA LLC

Laboratory Demographics

  • CLIA Code: 39D1065733
  • Facility Name: LIBERTY DIALYSIS CHIPPEWA LLC
  • Facility Address: 100 PAPPAN BUSINESS DRIVE
    BEAVER FALLS, PA
    ZIP 15010
  • Facility Phone: 724 846-5030
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUIWEN HE
  • NPI Number: 1427084953
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1065733
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS CHIPPEWA LLC
Street 100 PAPPAN BUSINESS DRIVE
City BEAVER FALLS
State PA
ZIP 15010
Phone 724 846-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SUIWEN HE

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