31D2081701 CLIA NUMBER - MILLBURN DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2081701
  • Facility Name: MILLBURN DIALYSIS
  • Facility Address: 25 E WILLOW AVENUE, SUITE 2
    MILLBURN, NJ
    ZIP 07041
  • Facility Phone: 973 379-7309
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CRAIG R. GOLDSTEIN
  • NPI Number: 1972928851
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2081701
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILLBURN DIALYSIS
Street 25 E WILLOW AVENUE, SUITE 2
City MILLBURN
State NJ
ZIP 07041
Phone 973 379-7309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CRAIG R. GOLDSTEIN

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