39D2154066 CLIA NUMBER - HARBISON DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2154066
  • Facility Name: HARBISON DIALYSIS
  • Facility Address: 6501 ROOSEVELT BLVD, STE 6581
    PHILADELPHIA, PA
    ZIP 19149
  • Facility Phone: 215 288-4671
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD R. SNIPES
  • NPI Number: 1306322516
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2154066
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HARBISON DIALYSIS
Street 6501 ROOSEVELT BLVD, STE 6581
City PHILADELPHIA
State PA
ZIP 19149
Phone 215 288-4671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. EDWARD R. SNIPES

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