33D0955534 CLIA NUMBER - BOSTON POST ROAD DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 33D0955534

Facility Name: BOSTON POST ROAD DIALYSIS CENTER

Facility Address:
4026 BOSTON RD
BRONX, NY
ZIP 10475
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Facility Phone Number: 718 862-9245

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1467489369

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0955534
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BOSTON POST ROAD DIALYSIS CENTER
Street	4026 BOSTON RD
City	BRONX
State	NY
ZIP	10475
Phone	718 862-9245
CertificateType	4
CertificateEffectiveDate	1/4/1999
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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