31D0996689 CLIA NUMBER - RENEX DIALYSIS CLINIC OF HARRISON

Laboratory Demographics

CLIA Number: 31D0996689

Facility Name: RENEX DIALYSIS CLINIC OF HARRISON

Facility Address:
620 ESSEX STREET
HARRISON, NJ
ZIP 07029
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Facility Phone Number: 973 482-7772

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033213814

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0996689
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENEX DIALYSIS CLINIC OF HARRISON
Street	620 ESSEX STREET
City	HARRISON
State	NJ
ZIP	07029
Phone	973 482-7772
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024