33D0981167 CLIA NUMBER - CENTRAL NEW YORK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D0981167
  • Facility Name: CENTRAL NEW YORK DIALYSIS CENTER
  • Facility Address: 910 ERIE BLVD EAST
    SYRACUSE, NY
    ZIP 13210
  • Facility Phone: (315) 410-8040
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW G. CHAFFIN
  • NPI Number: 1932271251
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0981167
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTRAL NEW YORK DIALYSIS CENTER
Street 910 ERIE BLVD EAST
City SYRACUSE
State NY
ZIP 13210
Phone 3154108040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2000
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MATTHEW G. CHAFFIN

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This page was last updated on: 5/18/2026