31D2225920 CLIA NUMBER - SOUTH EDISON DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2225920
  • Facility Name: SOUTH EDISON DIALYSIS
  • Facility Address: 561 ROUTE 1, PAD H
    EDISON, NJ
    ZIP 08817
  • Facility Phone: (908) 332-0239
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAMIR RAJAN
  • NPI Number: 1225704125
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2225920
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH EDISON DIALYSIS
Street 561 ROUTE 1, PAD H
City EDISON
State NJ
ZIP 08817
Phone 9083320239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAMIR RAJAN

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This page was last updated on: 5/18/2026