31D2162427 CLIA NUMBER - MAYS LANDING DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2162427
  • Facility Name: MAYS LANDING DIALYSIS
  • Facility Address: 4403 E BLACK HORSE PIKE, #LL04
    MAYS LANDING, NJ
    ZIP 08330
  • Facility Phone: 609 813-2050
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OMAR SHAHATEET
  • NPI Number: 1093270696
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2162427
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MAYS LANDING DIALYSIS
Street 4403 E BLACK HORSE PIKE, #LL04
City MAYS LANDING
State NJ
ZIP 08330
Phone 609 813-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OMAR SHAHATEET

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