31D0941331 CLIA NUMBER - PERTH AMBOY DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D0941331
  • Facility Name: PERTH AMBOY DIALYSIS
  • Facility Address: 271 KING STREET
    PERTH AMBOY, NJ
    ZIP 08861
  • Facility Phone: 732 442-3836
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STUART HOMER
  • NPI Number: 1881623585
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0941331
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PERTH AMBOY DIALYSIS
Street 271 KING STREET
City PERTH AMBOY
State NJ
ZIP 08861
Phone 732 442-3836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STUART HOMER

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