31D1100084 CLIA NUMBER - MILLVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D1100084
  • Facility Name: MILLVILLE DIALYSIS
  • Facility Address: 3 ELIZABETH AVENUE
    MILLVILLE, NJ
    ZIP 08332
  • Facility Phone: 856 327-4580
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN G. BARBER
  • NPI Number: 1255875290
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1100084
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILLVILLE DIALYSIS
Street 3 ELIZABETH AVENUE
City MILLVILLE
State NJ
ZIP 08332
Phone 856 327-4580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEVIN G. BARBER

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