39D2046261 CLIA NUMBER - PAXTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2046261
  • Facility Name: PAXTON DIALYSIS
  • Facility Address: 479 PORT VIEW DR, STE B21
    HARRISBURG, PA
    ZIP 17111
  • Facility Phone: 717 558-0290
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. TANVI A. REGE
  • NPI Number: 1629330469
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2046261
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PAXTON DIALYSIS
Street 479 PORT VIEW DR, STE B21
City HARRISBURG
State PA
ZIP 17111
Phone 717 558-0290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. TANVI A. REGE

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