31D1060061 CLIA NUMBER - RENAL CARE GROUP MAPLEWOOD

Laboratory Demographics

  • CLIA Code: 31D1060061
  • Facility Name: RENAL CARE GROUP MAPLEWOOD
  • Facility Address: 2130 MILLBURN AVENUE SUITE B1
    MAPLEWOOD, NJ
    ZIP 07040
  • Facility Phone: (973) 989-3431
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEZIA ALBERTO
  • NPI Number: 1902848708
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1060061
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP MAPLEWOOD
Street 2130 MILLBURN AVENUE SUITE B1
City MAPLEWOOD
State NJ
ZIP 07040
Phone 9739893431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEZIA ALBERTO

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This page was last updated on: 5/18/2026