39D2177924 CLIA NUMBER - DIALYSIS CLINIC INC INDIANA

Laboratory Demographics

  • CLIA Code: 39D2177924
  • Facility Name: DIALYSIS CLINIC INC INDIANA
  • Facility Address: 870 HOSPITAL ROAD
    INDIANA, PA
    ZIP 15701
  • Facility Phone: 724 465-7010
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH S. MOSS
  • NPI Number: 1013940402
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2177924
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC INDIANA
Street 870 HOSPITAL ROAD
City INDIANA
State PA
ZIP 15701
Phone 724 465-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JOSEPH S. MOSS

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