31D0911260 CLIA NUMBER - BRIDGEWATER DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 31D0911260
  • Facility Name: BRIDGEWATER DIALYSIS CENTER
  • Facility Address: 2121 WEST ROUTE 22 WEST
    BOUND BROOK, NJ
    ZIP 08805
  • Facility Phone: 908 469-7202
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MANISHA PATEL
  • NPI Number: 1982634333
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0911260
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRIDGEWATER DIALYSIS CENTER
Street 2121 WEST ROUTE 22 WEST
City BOUND BROOK
State NJ
ZIP 08805
Phone 908 469-7202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MANISHA PATEL

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