33D0965430 CLIA NUMBER - RIVERDALE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 33D0965430

Facility Name: RIVERDALE DIALYSIS CENTER

Facility Address:
170 W 233RD STREET
BRONX, NY
ZIP 10463
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Facility Phone Number: 718 884-4300

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1568498103

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	9/21/1999
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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