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CLIA 39D2051290: Grant One Dialysis
Philadelphia, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2051290 belongs to Grant One Dialysis in Philadelphia, PA.
Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Map your lab's test names to LOINC codes
Each test name to a LOINC code, with the units the order needs.
Map the testsCertificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 2012
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2051290
- Lab name
- Grant One Dialysis
- Address
- 9475 Roosevelt Blvd, Suite 9, Philadelphia, PA 19114
- Phone
- (215) 677-3707
- Fax
- (215) 677-3158
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Grant One DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Philadelphia, PA
- Abc Urgent Care LLCCertificate of Waiver, Physician office39D2216623
- Accela Rehab and Care CenterCertificate of Waiver, Skilled nursing or nursing facility39D0199543
- Acme Pharmacy #0114Certificate of Waiver, Pharmacy39D2085989
- Acme Pharmacy #0147Certificate of Waiver, Pharmacy39D2063825
- Acme Pharmacy #0291Certificate of Waiver, Pharmacy39D2128208
- Acme Pharmacy #0299Certificate of Waiver, Pharmacy39D2128209
- Acme Pharmacy #0726Certificate of Waiver, Pharmacy39D2086003
- Acme Pharmacy #0787Certificate of Waiver, Pharmacy39D2086029
- Acme Pharmacy #1725Certificate of Waiver, Pharmacy39D2086001
- Acme Pharmacy #2704Certificate of Waiver, Pharmacy39D1043961
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Questions
What is the CLIA number for Grant One Dialysis in Philadelphia?
39D2051290, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grant One Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2051290 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.