31D2070528 CLIA NUMBER - EAST BRUNSWICK DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2070528
  • Facility Name: EAST BRUNSWICK DIALYSIS
  • Facility Address: 629 CRANBURY ROAD, SUITE 101
    FAIR LAWN, NJ
    ZIP 07410
  • Facility Phone: 732 238-1909
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES J. MATERA
  • NPI Number: 1841625100
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2070528
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST BRUNSWICK DIALYSIS
Street 629 CRANBURY ROAD, SUITE 101
City FAIR LAWN
State NJ
ZIP 07410
Phone 732 238-1909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES J. MATERA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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