39D2042312 CLIA NUMBER - PENN HILLS DIALYSIS

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Laboratory Demographics

CLIA Number: 39D2042312

Facility Name: PENN HILLS DIALYSIS

Facility Address:
202 RODI ROAD
PENN HILLS, PA
ZIP 15235
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Facility Phone Number: 412 371-1102

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1306182928

Taxonomy: 261QE0700X - Clinic/Center

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	412 371-1102
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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