39D2167169 CLIA NUMBER - NCPDC KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 39D2167169
  • Facility Name: NCPDC KIDNEY CENTER
  • Facility Address: 70 PLAZA LANE
    WELLSBORO, PA
    ZIP 16901
  • Facility Phone: (330) 781-6212
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER A. AMEDIA
  • NPI Number: 1528424975
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2167169
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NCPDC KIDNEY CENTER
Street 70 PLAZA LANE
City WELLSBORO
State PA
ZIP 16901
Phone 3307816212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CHESTER A. AMEDIA

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