33D0950059 CLIA NUMBER - PORT CHESTER DIALYSIS & RENAL CENTER

Laboratory Demographics

  • CLIA Code: 33D0950059
  • Facility Name: PORT CHESTER DIALYSIS & RENAL CENTER
  • Facility Address: 3020 WESTCHESTER AVE - SUITE 100
    PURCHASE, NY
    ZIP 10577
  • Facility Phone: 914 701-5232
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RONALD REICHEL
  • NPI Number: 1982632543
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0950059
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PORT CHESTER DIALYSIS & RENAL CENTER
Street 3020 WESTCHESTER AVE - SUITE 100
City PURCHASE
State NY
ZIP 10577
Phone 914 701-5232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/1998
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RONALD REICHEL

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