39D2156471 CLIA NUMBER - ROOSEVELT AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2156471
  • Facility Name: ROOSEVELT AVENUE DIALYSIS
  • Facility Address: 1695 ROOSEVELT AVE, SUITE A
    YORK, PA
    ZIP 17408
  • Facility Phone: (717) 767-0189
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SAYED A. KAZI
  • NPI Number: 1881170504
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2156471
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROOSEVELT AVENUE DIALYSIS
Street 1695 ROOSEVELT AVE, SUITE A
City YORK
State PA
ZIP 17408
Phone 7177670189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SAYED A. KAZI

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This page was last updated on: 5/18/2026