39D2052767 CLIA NUMBER - POCONO HOME CENTER

Laboratory Demographics

  • CLIA Code: 39D2052767
  • Facility Name: POCONO HOME CENTER
  • Facility Address: 3361 ROUTE 611 SUITE 1
    BARTONSVILLE, PA
    ZIP 18321
  • Facility Phone: 570 629-1292
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. UMESH I. DALAL MD
  • NPI Number: 1679829493
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2052767
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name POCONO HOME CENTER
Street 3361 ROUTE 611 SUITE 1
City BARTONSVILLE
State PA
ZIP 18321
Phone 570 629-1292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. UMESH I. DALAL MD

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