33D0967370 CLIA NUMBER - SOUTH BRONX DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D0967370
  • Facility Name: SOUTH BRONX DIALYSIS CENTER
  • Facility Address: 1940 WEBSTER AVE
    BRONX, NY
    ZIP 10457
  • Facility Phone: 718 716-3999
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MANUEL ERROA
  • NPI Number: 1932135571
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0967370
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH BRONX DIALYSIS CENTER
Street 1940 WEBSTER AVE
City BRONX
State NY
ZIP 10457
Phone 718 716-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/1999
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MANUEL ERROA

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