39D2089281 CLIA NUMBER - TYRONE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2089281
  • Facility Name: TYRONE DIALYSIS
  • Facility Address: 175 HOSPITAL DRIVE
    TYRONE, PA
    ZIP 16686
  • Facility Phone: 814 684-4390
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANGEL Q. RAPOSAS MD
  • NPI Number: 1073912721
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2089281
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TYRONE DIALYSIS
Street 175 HOSPITAL DRIVE
City TYRONE
State PA
ZIP 16686
Phone 814 684-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ANGEL Q. RAPOSAS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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