33D0969672 CLIA NUMBER - WHITE PLAINS DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D0969672
  • Facility Name: WHITE PLAINS DIALYSIS
  • Facility Address: 611 W HARSDALE AVE, 1ST FL
    WHITE PLAINS, NY
    ZIP 10607
  • Facility Phone: 914 989-3702
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. OSAHON UKPONMWAN
  • NPI Number: 1578591152
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0969672
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WHITE PLAINS DIALYSIS
Street 611 W HARSDALE AVE, 1ST FL
City WHITE PLAINS
State NY
ZIP 10607
Phone 914 989-3702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2000
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. OSAHON UKPONMWAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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