31D1105625 CLIA NUMBER - LDSP LLC DBA LIBERTY DIALYSIS - LINWOOD

Laboratory Demographics

  • CLIA Code: 31D1105625
  • Facility Name: LDSP LLC DBA LIBERTY DIALYSIS - LINWOOD
  • Facility Address: 1201 NEW ROAD SUITE 170
    LINWOOD, NJ
    ZIP 08221
  • Facility Phone: 206 236-5001
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: EILEEN WALKER
  • NPI Number: 1740428507
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1105625
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LDSP LLC DBA LIBERTY DIALYSIS - LINWOOD
Street 1201 NEW ROAD SUITE 170
City LINWOOD
State NJ
ZIP 08221
Phone 206 236-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director EILEEN WALKER

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