33D0982859 CLIA NUMBER - PORT WASHINGTON DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D0982859
  • Facility Name: PORT WASHINGTON DIALYSIS CENTER
  • Facility Address: 50 SEAVIEW BLVD
    PORT WASHINGTON, NY
    ZIP 11050
  • Facility Phone: 516 484-3460
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUSANA HONG
  • NPI Number: 1902841513
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0982859
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PORT WASHINGTON DIALYSIS CENTER
Street 50 SEAVIEW BLVD
City PORT WASHINGTON
State NY
ZIP 11050
Phone 516 484-3460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2001
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SUSANA HONG

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