39D2031559 CLIA NUMBER - LDHB, LLC DBA LIBERTY DIALYSIS-CAMP HILL

Laboratory Demographics

  • CLIA Code: 39D2031559
  • Facility Name: LDHB, LLC DBA LIBERTY DIALYSIS-CAMP HILL
  • Facility Address: 500 N 12TH ST SUITE 300
    LEMOYNE, PA
    ZIP 17043
  • Facility Phone: 206 236-5001
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SANGEETA MITAL MD
  • NPI Number: 1609160167
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2031559
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LDHB, LLC DBA LIBERTY DIALYSIS-CAMP HILL
Street 500 N 12TH ST SUITE 300
City LEMOYNE
State PA
ZIP 17043
Phone 206 236-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SANGEETA MITAL MD

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