39D2123295 CLIA NUMBER - PROGRESS AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2123295
  • Facility Name: PROGRESS AVENUE DIALYSIS
  • Facility Address: 4390 STURBRIDGE DRIVE
    HARRISBURG, PA
    ZIP 17110
  • Facility Phone: 717 545-2805
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RABIA N. AL-SBAITI
  • NPI Number: 1770083271
  • Taxonomy: 103TC2200X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 39D2123295
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PROGRESS AVENUE DIALYSIS
Street 4390 STURBRIDGE DRIVE
City HARRISBURG
State PA
ZIP 17110
Phone 717 545-2805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RABIA N. AL-SBAITI

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