HERITAGE LAKE DIALYSIS
NPI 1467966127
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Gettysburg, PA

Active since November 16, 2017CLIA 39D2144847 · Waiver
4/5
Overall Rating
20 EXPEDITION TRL, STE 202, GETTYSBURG, PA 17325(717) 337-1012(717) 337-3834 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2023, Mar 31, 2023, Feb 23, 2023 and 5 more (8 updates tracked since 2017).

About Heritage Lake Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE LAKE DIALYSIS (NPI 1467966127) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Gettysburg, Pennsylvania and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Samuel Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1467966127
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS - MID-ATLANTIC INC
Location Address20 EXPEDITION TRL, STE 202Gettysburg, PA 17325-8599
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Fax(717) 337-3834
Organization SubpartNo
Authorized OfficialSamuel WeySr Director Licensure&certification · (615) 341-6641
Enumeration DateNovember 16, 2017
Last NPPES UpdateSeptember 11, 20238 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1467966127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
20 EXPEDITION TRL, Gettysburg, PA 17325

Other Names 1

Doing Business AsHeritage Lake Dialysis

Other Identifiers 1

Medicaid103444602PA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2144847

Heritage Lake Dialysis · Gettysburg, PA
Active · expires Feb 25, 2028
CLIA Number39D2144847
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorDr. Kayode C. Lawrence
Laboratory Phone(717) 337-1012
Laboratory LocationHeritage Lake Dialysis20 Expedition Trl, Ste 202, Gettysburg, PA 17325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Heritage Lake Dialysis (CMS certification number 392869), from CMS Care Compare.

DaVita Heritage Lake Dialysis

Dialysis facility · Gettysburg, PA
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number392869
ESRD NetworkNetwork 4
Hemodialysis Stations9
Medicare-Certified SinceApril 4, 2018
Location20 Expedition Trl, Suite 202Gettysburg, PA 17325 · Adams County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
20 EXPEDITION TRL, SUITE 102
GETTYSBURG, PA 17325
Radiology (Diagnostic Radiology)
20 EXPEDITION TRL
GETTYSBURG, PA 17325
Internal Medicine (Hematology & Oncology)
20 EXPEDITION TRL, SUITE 101
GETTYSBURG, PA 17325
Internal Medicine (Hematology & Oncology)
20 EXPEDITION TRL, SUITE 101
GETTYSBURG, PA 17325
Specialist
20 EXPEDITION TRL, SUITE 110B
GETTYSBURG, PA 17325
Internal Medicine (Hematology & Oncology)
20 EXPEDITION TRL, SUITE 101
GETTYSBURG, PA 17325
Radiology (Radiation Oncology)
20 EXPEDITION TRL, SUITE 100
GETTYSBURG, PA 17325
Internal Medicine (Endocrinology, Diabetes & Metabolism)
20 EXPEDITION TRL, STE 201
GETTYSBURG, PA 17325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Treatment Centers - Mid-Atlantic Inc's NPI number?

The NPI number for Renal Treatment Centers - Mid-Atlantic Inc is 1467966127. It was assigned to this organization in the NPPES registry on November 16, 2017. The provider is doing business as Heritage Lake Dialysis.

Where is Renal Treatment Centers - Mid-Atlantic Inc located?

Renal Treatment Centers - Mid-Atlantic Inc is located at 20 Expedition Trl Ste 202, Gettysburg, PA 17325. The listed phone number is (717) 337-1012.

What is Renal Treatment Centers - Mid-Atlantic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Renal Treatment Centers - Mid-Atlantic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2144847) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers - Mid-Atlantic Inc a Medicare-certified dialysis facility?

Yes. DaVita Heritage Lake Dialysis is a Medicare-certified dialysis facility, certified since April 4, 2018.

What quality rating does Renal Treatment Centers - Mid-Atlantic Inc have?

CMS rates DaVita Heritage Lake Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers - Mid-Atlantic Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Renal Treatment Centers - Mid-Atlantic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renal Treatment Centers - Mid-Atlantic Inc was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.