39D2004357 CLIA NUMBER - RENAL CAREPARTNERS OF PHILADELPHIA

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Laboratory Demographics

CLIA Number: 39D2004357

Facility Name: RENAL CAREPARTNERS OF PHILADELPHIA

Facility Address:
2910 SOUTH 70TH STREET
PHILADELPHIA, PA
ZIP 19142
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Facility Phone Number: 215 937-1673

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1922320266

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2004357
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CAREPARTNERS OF PHILADELPHIA
Street	2910 SOUTH 70TH STREET
City	PHILADELPHIA
State	PA
ZIP	19142
Phone	215 937-1673
CertificateType	4
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	Waiver

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