31D1025751 CLIA NUMBER - LIBERTY DIALYSIS-BERLIN LLC

Laboratory Demographics

  • CLIA Code: 31D1025751
  • Facility Name: LIBERTY DIALYSIS-BERLIN LLC
  • Facility Address: 30 TANSBORO ROAD
    BERLIN, NJ
    ZIP 08009
  • Facility Phone: 856 809-0036
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY SCHIAVO
  • NPI Number: 1770690711
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1025751
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS-BERLIN LLC
Street 30 TANSBORO ROAD
City BERLIN
State NJ
ZIP 08009
Phone 856 809-0036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTHONY SCHIAVO

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