39D2104887 CLIA NUMBER - QUENTIN CIRCLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2104887
  • Facility Name: QUENTIN CIRCLE DIALYSIS
  • Facility Address: 966 ISABEL DRIVE
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 273-1026
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ADEEL A. SIDDIQUI
  • NPI Number: 1871977108
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2104887
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name QUENTIN CIRCLE DIALYSIS
Street 966 ISABEL DRIVE
City LEBANON
State PA
ZIP 17042
Phone 717 273-1026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ADEEL A. SIDDIQUI

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