31D2114501 CLIA NUMBER - JERSEY CITY SUMMIT DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2114501
  • Facility Name: JERSEY CITY SUMMIT DIALYSIS
  • Facility Address: 414 SUMMIT AVENUE
    JERSEY CITY, NJ
    ZIP 07306
  • Facility Phone: 201 420-8431
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANFORD COOPER
  • NPI Number: 1235504101
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2114501
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JERSEY CITY SUMMIT DIALYSIS
Street 414 SUMMIT AVENUE
City JERSEY CITY
State NJ
ZIP 07306
Phone 201 420-8431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANFORD COOPER

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