39D2116098 CLIA NUMBER - HOME DIALYSIS SERVICES HERSHEY, LLC

Laboratory Demographics

  • CLIA Code: 39D2116098
  • Facility Name: HOME DIALYSIS SERVICES HERSHEY, LLC
  • Facility Address: 555 E CHOCOLATE AVE SUITE 102
    HERSHEY, PA
    ZIP 17033
  • Facility Phone: 717 500-5177
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. UMAR FAROOQ
  • NPI Number: 1003296377
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2116098
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOME DIALYSIS SERVICES HERSHEY, LLC
Street 555 E CHOCOLATE AVE SUITE 102
City HERSHEY
State PA
ZIP 17033
Phone 717 500-5177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. UMAR FAROOQ

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