31D0652984 CLIA NUMBER - HOLMDEL DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D0652984
  • Facility Name: HOLMDEL DIALYSIS
  • Facility Address: 3053 STATE ROUTE 35
    HAZLET, NJ
    ZIP 07730
  • Facility Phone: 732 203-0321
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEAN A. OTRAKJI
  • NPI Number: 1700815487
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0652984
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOLMDEL DIALYSIS
Street 3053 STATE ROUTE 35
City HAZLET
State NJ
ZIP 07730
Phone 732 203-0321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEAN A. OTRAKJI

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