33D0895882 CLIA NUMBER - OYSTER BAY DIALYSIS

Laboratory Demographics

CLIA Number: 33D0895882

Facility Name: OYSTER BAY DIALYSIS

Facility Address:
17 E OLD COUNTRY RD
HICKSVILLE, NY
ZIP 11801
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Facility Phone Number: 516 364-2100

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1902834559

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0895882
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OYSTER BAY DIALYSIS
Street	17 E OLD COUNTRY RD
City	HICKSVILLE
State	NY
ZIP	11801
Phone	516 364-2100
CertificateType	4
CertificateEffectiveDate	11/28/2007
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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