33D0153089 CLIA NUMBER - FREEPORT KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 33D0153089
  • Facility Name: FREEPORT KIDNEY CENTER
  • Facility Address: 351 S MAIN STREET
    FREEPORT, NY
    ZIP 11520
  • Facility Phone: 516 623-1786
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PAUL FRIEDMANN
  • NPI Number: 1740216159
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0153089
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FREEPORT KIDNEY CENTER
Street 351 S MAIN STREET
City FREEPORT
State NY
ZIP 11520
Phone 516 623-1786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2008
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PAUL FRIEDMANN

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