CLIA lab
CLIA 39D2206442: Fresenius Kidney Care Back Mountain
Dallas, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2206442 belongs to Fresenius Kidney Care Back Mountain in Dallas, PA.
Certificate of Waiver, effective December 21, 2024, expires December 20, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2020
- 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
- 39D2206442
- Lab name
- Fresenius Kidney Care Back Mountain
- Address
- 130 Crossfield Dr, Dallas, PA 18612
- Phone
- (570) 262-0922
- Fax
- (570) 825-2055
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
- FKC Back MountainCMS Care Compare ratings for the facility at the same street address
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- Medicine Shoppe PharmacyCertificate of Waiver, Pharmacy39D1042706
Related
Questions
What is the CLIA number for Fresenius Kidney Care Back Mountain in Dallas?
39D2206442, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fresenius Kidney Care Back Mountain hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2206442 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.