31D2250324 CLIA NUMBER - WEST PATERSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2250324
  • Facility Name: WEST PATERSON DIALYSIS
  • Facility Address: 490 CHAMBERLAIN AVENUE
    PATERSON, NJ
    ZIP 07522
  • Facility Phone: 862 657-5572
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALICIA R. NOTKIN
  • NPI Number: 1720739055
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2250324
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST PATERSON DIALYSIS
Street 490 CHAMBERLAIN AVENUE
City PATERSON
State NJ
ZIP 07522
Phone 862 657-5572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALICIA R. NOTKIN

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