39D2323428 CLIA NUMBER - MONTAGE HOME DIAYLSIS

Laboratory Demographics

  • CLIA Code: 39D2323428
  • Facility Name: MONTAGE HOME DIAYLSIS
  • Facility Address: 3409 BIRNEY AVE
    MOOSIC, PA
    ZIP 18507
  • Facility Phone: 570 344-1745
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ROGER T. GETTS JR
  • NPI Number: 1770927436
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2323428
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONTAGE HOME DIAYLSIS
Street 3409 BIRNEY AVE
City MOOSIC
State PA
ZIP 18507
Phone 570 344-1745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ROGER T. GETTS JR

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