39D1072934 CLIA NUMBER - BENSALEM DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 39D1072934
  • Facility Name: BENSALEM DIALYSIS CENTER LLC
  • Facility Address: 1336 BRISTOL PIKE UNIT 130
    BENSALEM, PA
    ZIP 19020
  • Facility Phone: 215 638-8671
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KIMON A. KOSTOPOULOS DO
  • NPI Number: 1679668586
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1072934
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BENSALEM DIALYSIS CENTER LLC
Street 1336 BRISTOL PIKE UNIT 130
City BENSALEM
State PA
ZIP 19020
Phone 215 638-8671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KIMON A. KOSTOPOULOS DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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