31D2070529 CLIA NUMBER - RADBURN DIALYSIS

Laboratory Demographics

CLIA Number: 31D2070529

Facility Name: RADBURN DIALYSIS

Facility Address:
15-00 POLLITT DRIVE
FAIR LAWN, NJ
ZIP 07410
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Facility Phone Number: 201 796-1385

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1104258029

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 31D2070529
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RADBURN DIALYSIS
Street 15-00 POLLITT DRIVE
City FAIR LAWN
State NJ
ZIP 07410
Phone 201 796-1385
CertificateType 4
CertificateEffectiveDate 12/19/2023
CertificateExpirationDate 12/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024