39D1083584 CLIA NUMBER - CALLOWHILL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 39D1083584
  • Facility Name: CALLOWHILL DIALYSIS CENTER
  • Facility Address: 400 N 3RD STREET
    PHILADELPHIA, PA
    ZIP 19123
  • Facility Phone: (215) 629-3580
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RAKESH GULATI
  • NPI Number: 1003066754
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 39D1083584
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CALLOWHILL DIALYSIS CENTER
Street 400 N 3RD STREET
City PHILADELPHIA
State PA
ZIP 19123
Phone 2156293580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2026
Certificate Expiration Date 5/5/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RAKESH GULATI

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This page was last updated on: 5/18/2026