39D2062162 CLIA NUMBER - CHELTENHAM DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2062162
  • Facility Name: CHELTENHAM DIALYSIS
  • Facility Address: 133 CHELTENHAM AVE
    CHELTENHAM, PA
    ZIP 19012
  • Facility Phone: 215 635-1870
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH H. GRONICH MD
  • NPI Number: 1750624425
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2062162
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHELTENHAM DIALYSIS
Street 133 CHELTENHAM AVE
City CHELTENHAM
State PA
ZIP 19012
Phone 215 635-1870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOSEPH H. GRONICH MD

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