39D2094834 CLIA NUMBER - LEHIGH AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2094834
  • Facility Name: LEHIGH AVENUE DIALYSIS
  • Facility Address: 1300 WEST LEHIGH AVE
    PHILADELPHIA, PA
    ZIP 19132
  • Facility Phone: 215 223-1018
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN DIMITRIOU
  • NPI Number: 1336758549
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2094834
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEHIGH AVENUE DIALYSIS
Street 1300 WEST LEHIGH AVE
City PHILADELPHIA
State PA
ZIP 19132
Phone 215 223-1018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. STEPHEN DIMITRIOU

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