31D0941330 CLIA NUMBER - OLD BRIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D0941330
  • Facility Name: OLD BRIDGE DIALYSIS
  • Facility Address: 262 TEXAS ROAD
    OLD BRIDGE, NJ
    ZIP 08857
  • Facility Phone: (732) 591-4931
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STUART HOMER
  • NPI Number: 1376271338
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D0941330
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OLD BRIDGE DIALYSIS
Street 262 TEXAS ROAD
City OLD BRIDGE
State NJ
ZIP 08857
Phone 7325914931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2026
Certificate Expiration Date 2/23/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STUART HOMER

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This page was last updated on: 6/29/2026