39D2317450 CLIA NUMBER - WILKES BARRE DIALYSIS

Laboratory Demographics

  • CLIA Code: 39D2317450
  • Facility Name: WILKES BARRE DIALYSIS
  • Facility Address: 950 E MOUNTAIN BLVD
    WILKES BARRE, PA
    ZIP 18711
  • Facility Phone: 570 899-6404
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ATUL BALI
  • NPI Number: 1326080086
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2317450
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILKES BARRE DIALYSIS
Street 950 E MOUNTAIN BLVD
City WILKES BARRE
State PA
ZIP 18711
Phone 570 899-6404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ATUL BALI

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