31D2170448 CLIA NUMBER - GLOUCESTER COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2170448
  • Facility Name: GLOUCESTER COUNTY DIALYSIS
  • Facility Address: 1217 S BLACK HORSE PIKE
    WILLIAMSTOWN, NJ
    ZIP 08094
  • Facility Phone: 856 740-1890
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NITIN RELIA
  • NPI Number: 1003474685
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2170448
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLOUCESTER COUNTY DIALYSIS
Street 1217 S BLACK HORSE PIKE
City WILLIAMSTOWN
State NJ
ZIP 08094
Phone 856 740-1890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NITIN RELIA

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