31D2162427 CLIA NUMBER - MAYS LANDING DIALYSIS

Laboratory Demographics

CLIA Number: 31D2162427

Facility Name: MAYS LANDING DIALYSIS

Facility Address:
4403 E BLACK HORSE PIKE, #LL04
MAYS LANDING, NJ
ZIP 08330
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Facility Phone Number: 609 813-2050

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1093270696

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024