39D2120996 CLIA NUMBER - CLARION DIALYSIS CTR, LLC

Laboratory Demographics

  • CLIA Code: 39D2120996
  • Facility Name: CLARION DIALYSIS CTR, LLC
  • Facility Address: 22631 ROUTE 68, SUITE 450
    CLARION, PA
    ZIP 16214
  • Facility Phone: 814 223-4655
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID R. BROOKER
  • NPI Number: 1033365374
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2120996
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLARION DIALYSIS CTR, LLC
Street 22631 ROUTE 68, SUITE 450
City CLARION
State PA
ZIP 16214
Phone 814 223-4655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DAVID R. BROOKER

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