31D2129856 CLIA NUMBER - BRIDGETON DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2129856
  • Facility Name: BRIDGETON DIALYSIS
  • Facility Address: 333 IRVING AVENUE
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 856 575-4200
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANSHUL KUMAR
  • NPI Number: 1639613649
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2129856
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRIDGETON DIALYSIS
Street 333 IRVING AVENUE
City BRIDGETON
State NJ
ZIP 08302
Phone 856 575-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANSHUL KUMAR

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