39D2168904 CLIA NUMBER - ROSSMOYNE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2168904
  • Facility Name: ROSSMOYNE DIALYSIS
  • Facility Address: 5072 RITTER RD, STE 104
    MECHANICSBURG, PA
    ZIP 17055
  • Facility Phone: 717 790-9039
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MOHAMED F. ELNOUR
  • NPI Number: 1225598782
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2168904
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROSSMOYNE DIALYSIS
Street 5072 RITTER RD, STE 104
City MECHANICSBURG
State PA
ZIP 17055
Phone 717 790-9039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MOHAMED F. ELNOUR

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