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CLIA 39D2138173: Fairmount Dialysis
Philadelphia, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2138173 belongs to Fairmount Dialysis in Philadelphia, PA.
Certificate of Waiver, effective October 12, 2025, expires October 11, 2027.
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
- October 12, 2025
- Certificate expiration
- October 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2017
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2138173
- Lab name
- Fairmount Dialysis
- Address
- 1236 N 26th St, Philadelphia, PA 19121
- Phone
- (215) 763-3974
- Fax
- (215) 765-1494
Annual test volume the lab reported
- Waived tests
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Fairmount DialysisCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Fairmount Dialysis in Philadelphia?
39D2138173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairmount Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2138173 expire?
The CMS file lists October 11, 2027 as the certificate expiration date; the certificate took effect October 12, 2025.