39D2293785 CLIA NUMBER - CLINICAL RENAL ASSOCIATES

Laboratory Demographics

CLIA Number: 39D2293785

Facility Name: CLINICAL RENAL ASSOCIATES

Facility Address:
33 CHESTER PIKE, FIRST FLOOR
RIDLEY PARK, PA
ZIP 19078
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Facility Phone Number: 610 872-8501

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1689620254

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name Field Value
CLIA Number 39D2293785
LAB Type Physician Office
Facility Name CLINICAL RENAL ASSOCIATES
Street 33 CHESTER PIKE, FIRST FLOOR
City RIDLEY PARK
State PA
ZIP 19078
Phone 610 872-8501
CertificateType 3
CertificateEffectiveDate 11/15/2023
CertificateExpirationDate 11/14/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024