33D0723249 CLIA NUMBER - ALBANY DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 33D0723249

Facility Name: ALBANY DIALYSIS CENTER

Facility Address:
64 ALBANY SHAKER ROAD
ALBANY, NY
ZIP 12204
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Facility Phone Number: 518 427-0473

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1699879460

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0723249
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ALBANY DIALYSIS CENTER
Street	64 ALBANY SHAKER ROAD
City	ALBANY
State	NY
ZIP	12204
Phone	518 427-0473
CertificateType	4
CertificateEffectiveDate	4/25/2005
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024