39D1071712 CLIA NUMBER - THORNDALE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D1071712
  • Facility Name: THORNDALE DIALYSIS
  • Facility Address: 3243 LINCOLN HIGHWAY
    THORNDALE, PA
    ZIP 19372
  • Facility Phone: 610 384-3902
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HERMAN J. MICHAEL MD
  • NPI Number: 1982269718
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1071712
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name THORNDALE DIALYSIS
Street 3243 LINCOLN HIGHWAY
City THORNDALE
State PA
ZIP 19372
Phone 610 384-3902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HERMAN J. MICHAEL MD

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