39D2023284 CLIA NUMBER - USRC ALTOONA, LLC DBA US RENAL CARE ALTOONA DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2023284
  • Facility Name: USRC ALTOONA, LLC DBA US RENAL CARE ALTOONA DIALYSIS
  • Facility Address: 118 E CHESTNUT
    ALTOONA, PA
    ZIP 16601
  • Facility Phone: 814 942-2569
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PAWAN K. GUPTA
  • NPI Number: 1265739411
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2023284
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC ALTOONA, LLC DBA US RENAL CARE ALTOONA DIALYSIS
Street 118 E CHESTNUT
City ALTOONA
State PA
ZIP 16601
Phone 814 942-2569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PAWAN K. GUPTA

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