39D2042349 CLIA NUMBER - COMMONWEALTH DIALYSIS KIMBALL DIALYSIS, LLC

Laboratory Demographics

  • CLIA Code: 39D2042349
  • Facility Name: COMMONWEALTH DIALYSIS KIMBALL DIALYSIS, LLC
  • Facility Address: 920 S WASHINGTON ST
    SCRANTON, PA
    ZIP 18505
  • Facility Phone: 570 344-5297
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. LINDSAY M. SMITH
  • NPI Number: 1174899173
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2042349
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMMONWEALTH DIALYSIS KIMBALL DIALYSIS, LLC
Street 920 S WASHINGTON ST
City SCRANTON
State PA
ZIP 18505
Phone 570 344-5297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. LINDSAY M. SMITH

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