39D1075058 CLIA NUMBER - LIBERTY DIALYSIS DOYLESTOWN

Laboratory Demographics

  • CLIA Code: 39D1075058
  • Facility Name: LIBERTY DIALYSIS DOYLESTOWN
  • Facility Address: 2800 KELLY ROAD SUITE 110
    WARRINGTON, PA
    ZIP 18976
  • Facility Phone: 215 488-7220
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MELCHIONE VERNACE MD
  • NPI Number: 1376746511
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1075058
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS DOYLESTOWN
Street 2800 KELLY ROAD SUITE 110
City WARRINGTON
State PA
ZIP 18976
Phone 215 488-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MELCHIONE VERNACE MD

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