07D1067344 CLIA NUMBER - LIBERTY DIALYSIS-NORTH HAVEN, LLC U S RENAL CARE NORTH HAVEN DIALYSIS

Laboratory Demographics

CLIA Number: 07D1067344

Facility Name: LIBERTY DIALYSIS-NORTH HAVEN, LLC U S RENAL CARE NORTH HAVEN DIALYSIS

Facility Address:
510 WASHINGTON AVE
NORTH HAVEN, CT
ZIP 06473
Get Directions

Facility Phone Number: 203 234-7071

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1336206408

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D1067344
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	LIBERTY DIALYSIS-NORTH HAVEN, LLC U S RENAL CARE NORTH HAVEN DIALYSIS
Street	510 WASHINGTON AVE
City	NORTH HAVEN
State	CT
ZIP	06473
Phone	203 234-7071
CertificateType	4
CertificateEffectiveDate	4/17/2023
CertificateExpirationDate	4/16/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024