39D1076846 CLIA NUMBER - DIALYSIS CENTER OF ERIE

Laboratory Demographics

  • CLIA Code: 39D1076846
  • Facility Name: DIALYSIS CENTER OF ERIE
  • Facility Address: 1641 SASSAFRAS STREET
    ERIE, PA
    ZIP 16502
  • Facility Phone: 814 455-6455
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD C. CLARK
  • NPI Number: 1851570733
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1076846
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CENTER OF ERIE
Street 1641 SASSAFRAS STREET
City ERIE
State PA
ZIP 16502
Phone 814 455-6455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. EDWARD C. CLARK

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