33D0673218 CLIA NUMBER - RIDGEWOOD DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D0673218
  • Facility Name: RIDGEWOOD DIALYSIS CENTER
  • Facility Address: 385 SENECA AVENUE
    RIDGEWOOD, NY
    ZIP 11385
  • Facility Phone: (718) 366-1111
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PREMILA BHAT
  • NPI Number: 1245586395
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0673218
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIDGEWOOD DIALYSIS CENTER
Street 385 SENECA AVENUE
City RIDGEWOOD
State NY
ZIP 11385
Phone 7183661111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PREMILA BHAT

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