31D2061762 CLIA NUMBER - WEST ORANGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2061762
  • Facility Name: WEST ORANGE DIALYSIS
  • Facility Address: 375 MOUNT PLEASANT AVENUE
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 243-7069
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES M. PRITSIOLAS
  • NPI Number: 1295070811
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2061762
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST ORANGE DIALYSIS
Street 375 MOUNT PLEASANT AVENUE
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 243-7069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES M. PRITSIOLAS

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