33D0965430 CLIA NUMBER - RIVERDALE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D0965430
  • Facility Name: RIVERDALE DIALYSIS CENTER
  • Facility Address: 170 W 233RD STREET
    BRONX, NY
    ZIP 10463
  • Facility Phone: 718 884-4300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MAUREEN E. BROGAN
  • NPI Number: 1568498103
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0965430
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERDALE DIALYSIS CENTER
Street 170 W 233RD STREET
City BRONX
State NY
ZIP 10463
Phone 718 884-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/1999
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MAUREEN E. BROGAN

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