31D2275089 CLIA NUMBER - LIBERTY PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 31D2275089
  • Facility Name: LIBERTY PARK DIALYSIS
  • Facility Address: 15 CARBON PL
    JERSEY CITY, NJ
    ZIP 07305
  • Facility Phone: 551 285-1016
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MAYURI VIJAY-SHARMA
  • NPI Number: 1427762897
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2275089
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY PARK DIALYSIS
Street 15 CARBON PL
City JERSEY CITY
State NJ
ZIP 07305
Phone 551 285-1016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MAYURI VIJAY-SHARMA

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