39D2002007 CLIA NUMBER - JUSTIN DRIVE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2002007
  • Facility Name: JUSTIN DRIVE DIALYSIS
  • Facility Address: 32 JUSTIN DRIVE, STE 101
    DANVILLE, PA
    ZIP 17821
  • Facility Phone: 570 271-6392
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JAGDEEP K. MEHR
  • NPI Number: 1992521249
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2002007
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JUSTIN DRIVE DIALYSIS
Street 32 JUSTIN DRIVE, STE 101
City DANVILLE
State PA
ZIP 17821
Phone 570 271-6392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JAGDEEP K. MEHR

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