39D2185275 CLIA NUMBER - SHAMOKIN DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2185275
  • Facility Name: SHAMOKIN DIALYSIS
  • Facility Address: 9333 STATE ROUTE 61
    COAL TOWNSHIP, PA
    ZIP 17866
  • Facility Phone: 570 500-7072
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GURMUKTESHWAR SINGH
  • NPI Number: 1164881249
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2185275
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SHAMOKIN DIALYSIS
Street 9333 STATE ROUTE 61
City COAL TOWNSHIP
State PA
ZIP 17866
Phone 570 500-7072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GURMUKTESHWAR SINGH

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