31D2037025 CLIA NUMBER - ST JOSEPH'S SJRMC DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2037025
  • Facility Name: ST JOSEPH'S SJRMC DIALYSIS
  • Facility Address: 703 MAIN ST
    PATERSON, NJ
    ZIP 07503
  • Facility Phone: 973 754-3570
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHANDRA B. CHANDRAN
  • NPI Number: 1639447105
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2037025
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST JOSEPH'S SJRMC DIALYSIS
Street 703 MAIN ST
City PATERSON
State NJ
ZIP 07503
Phone 973 754-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHANDRA B. CHANDRAN

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