31D2181381 CLIA NUMBER - UPPER DEERFIELD DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2181381
  • Facility Name: UPPER DEERFIELD DIALYSIS
  • Facility Address: 21 CORNWELL DRIVE
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 856 453-2380
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA LYONS
  • NPI Number: 1699323824
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2181381
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UPPER DEERFIELD DIALYSIS
Street 21 CORNWELL DRIVE
City BRIDGETON
State NJ
ZIP 08302
Phone 856 453-2380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PATRICIA LYONS

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