31D0938869 CLIA NUMBER - PARKSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D0938869
  • Facility Name: PARKSIDE DIALYSIS
  • Facility Address: 580 FRELINGHUYSEN AVENUE
    NEWARK, NJ
    ZIP 07112
  • Facility Phone: 973 624-2226
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MELVIN GOLDBLAT MD
  • NPI Number: 1104806785
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0938869
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PARKSIDE DIALYSIS
Street 580 FRELINGHUYSEN AVENUE
City NEWARK
State NJ
ZIP 07112
Phone 973 624-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MELVIN GOLDBLAT MD

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