CLIA lab
CLIA 39D2165614: Old Forge Dialysis
Old Forge, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2165614 belongs to Old Forge Dialysis in Old Forge, PA.
Certificate of Waiver, effective May 2, 2025, expires May 1, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 2, 2025
- Certificate expiration
- May 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 2019
- 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
- 39D2165614
- Lab name
- Old Forge Dialysis
- Address
- 325 S Main St, Old Forge, PA 18518
- Phone
- (570) 457-3174
- Fax
- (570) 457-3313
Annual test volume the lab reported
- Waived tests
- 3,744
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Old Forge DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Old Forge, PA
Related
Questions
What is the CLIA number for Old Forge Dialysis in Old Forge?
39D2165614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Old Forge Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2165614 expire?
The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.