39D2119987 CLIA NUMBER - FREEDOM CENTER OF CENTRAL PA

Laboratory Demographics

  • CLIA Code: 39D2119987
  • Facility Name: FREEDOM CENTER OF CENTRAL PA
  • Facility Address: 390 EAST PENN DRIVE
    ENOLA, PA
    ZIP 17025
  • Facility Phone: 717 732-3274
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN R. DIAMOND
  • NPI Number: 1134589336
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2119987
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FREEDOM CENTER OF CENTRAL PA
Street 390 EAST PENN DRIVE
City ENOLA
State PA
ZIP 17025
Phone 717 732-3274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JONATHAN R. DIAMOND

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This page was last updated on: 6/4/2025