33D0960175 CLIA NUMBER - HUDSON VALLEY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D0960175
  • Facility Name: HUDSON VALLEY DIALYSIS CENTER
  • Facility Address: 155 WHITE PLAINS ROAD, SUITE 107
    TARRYTOWN, NY
    ZIP 10591
  • Facility Phone: 914 332-7599
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOLLY MATTHEW
  • NPI Number: 1265461487
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0960175
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HUDSON VALLEY DIALYSIS CENTER
Street 155 WHITE PLAINS ROAD, SUITE 107
City TARRYTOWN
State NY
ZIP 10591
Phone 914 332-7599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/1999
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JOLLY MATTHEW

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