39D2042312 CLIA NUMBER - PENN HILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2042312
  • Facility Name: PENN HILLS DIALYSIS
  • Facility Address: 202 RODI ROAD
    PENN HILLS, PA
    ZIP 15235
  • Facility Phone: 814 336-6044
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NANGALI S. SRINIVASA
  • NPI Number: 1306182928
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2042312
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PENN HILLS DIALYSIS
Street 202 RODI ROAD
City PENN HILLS
State PA
ZIP 15235
Phone 814 336-6044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NANGALI S. SRINIVASA

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