Healther Providers Data Logo

31D2162456 CLIA NUMBER - SOUTH DEAN DIALYSIS

Laboratory Demographics

CLIA Number: 31D2162456

Facility Name: SOUTH DEAN DIALYSIS

Facility Address:
100 W FOREST AVENUE, SUITE G
ENGLEWOOD, NJ
ZIP 07631
Get Directions

Facility Phone Number: 201 816-9710

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1942567755

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 31D2162456
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH DEAN DIALYSIS
Street 100 W FOREST AVENUE, SUITE G
City ENGLEWOOD
State NJ
ZIP 07631
Phone 201 816-9710
CertificateType 4
CertificateEffectiveDate 2/22/2023
CertificateExpirationDate 2/21/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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