07D0960559 CLIA NUMBER - ST RAPHAEL'S DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 07D0960559
  • Facility Name: ST RAPHAEL'S DIALYSIS CENTER
  • Facility Address: 137 WATER ST
    NEW HAVEN, CT
    ZIP 06511
  • Facility Phone: 203 789-3405
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS EISEN MD
  • NPI Number: 1235148941
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0960559
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST RAPHAEL'S DIALYSIS CENTER
Street 137 WATER ST
City NEW HAVEN
State CT
ZIP 06511
Phone 203 789-3405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS EISEN MD

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This page was last updated on: 9/29/2025