31D2004930 CLIA NUMBER - LIBERTY DIALYSIS - HAMMONTON LLC

Laboratory Demographics

  • CLIA Code: 31D2004930
  • Facility Name: LIBERTY DIALYSIS - HAMMONTON LLC
  • Facility Address: 392 N WHITE HORSE PIKE, SUITE 1
    HAMMONTON, NJ
    ZIP 08037
  • Facility Phone: 609 561-0044
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NITIN BEHL
  • NPI Number: 1992967657
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2004930
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS - HAMMONTON LLC
Street 392 N WHITE HORSE PIKE, SUITE 1
City HAMMONTON
State NJ
ZIP 08037
Phone 609 561-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NITIN BEHL

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