31D2123200 CLIA NUMBER - LYNDHURST DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2123200
  • Facility Name: LYNDHURST DIALYSIS
  • Facility Address: 554A NEW YORK AVENUE
    LYNDHURST, NJ
    ZIP 07071
  • Facility Phone: 201 933-4782
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RANKA SAMSA
  • NPI Number: 1366996555
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2123200
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LYNDHURST DIALYSIS
Street 554A NEW YORK AVENUE
City LYNDHURST
State NJ
ZIP 07071
Phone 201 933-4782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RANKA SAMSA

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