31D1000472 CLIA NUMBER - NEPTUNE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 31D1000472
  • Facility Name: NEPTUNE DIALYSIS CENTER
  • Facility Address: 2180 BRADLEY AVENUE
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: 732 775-0500
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUSHIL MEHANDRU
  • NPI Number: 1740311216
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D1000472
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEPTUNE DIALYSIS CENTER
Street 2180 BRADLEY AVENUE
City NEPTUNE
State NJ
ZIP 07753
Phone 732 775-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUSHIL MEHANDRU

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