39D2015912 CLIA NUMBER - WILLOW GROVE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2015912
  • Facility Name: WILLOW GROVE DIALYSIS
  • Facility Address: 1849 DAVISVILLE RD
    WILLOW GROVE, PA
    ZIP 19090
  • Facility Phone: 215 659-3426
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN C. CRONIN
  • NPI Number: 1083659783
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2015912
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILLOW GROVE DIALYSIS
Street 1849 DAVISVILLE RD
City WILLOW GROVE
State PA
ZIP 19090
Phone 215 659-3426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. BRIAN C. CRONIN

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