39D2228093 CLIA NUMBER - PRODIGY DIALYSIS -MEYERSDALE

Laboratory Demographics

  • CLIA Code: 39D2228093
  • Facility Name: PRODIGY DIALYSIS -MEYERSDALE
  • Facility Address: 25 CENTER ST
    MEYERSDALE, PA
    ZIP 15552
  • Facility Phone: 814 634-7052
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE J. FREM
  • NPI Number: 1417191404
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2228093
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PRODIGY DIALYSIS -MEYERSDALE
Street 25 CENTER ST
City MEYERSDALE
State PA
ZIP 15552
Phone 814 634-7052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GEORGE J. FREM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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