39D1098470 CLIA NUMBER - FRANKLIN DIALYSIS AT HOME

Laboratory Demographics

CLIA Number: 39D1098470

Facility Name: FRANKLIN DIALYSIS AT HOME

Facility Address:
301 CALLOWHILL STREET
PHILADELPHIA, PA
ZIP 19123
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Facility Phone Number: 215 873-0711

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1962651257

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1098470
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRANKLIN DIALYSIS AT HOME
Street	301 CALLOWHILL STREET
City	PHILADELPHIA
State	PA
ZIP	19123
Phone	215 873-0711
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024