33D1005736 CLIA NUMBER - UTICA AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D1005736
  • Facility Name: UTICA AVENUE DIALYSIS
  • Facility Address: 1305 UTICA AVENUE
    BROOKLYN, NY
    ZIP 11203
  • Facility Phone: 718 629-3900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CARLINE M. GUIRAND
  • NPI Number: 1073778379
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1005736
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UTICA AVENUE DIALYSIS
Street 1305 UTICA AVENUE
City BROOKLYN
State NY
ZIP 11203
Phone 718 629-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2002
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CARLINE M. GUIRAND

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This page was last updated on: 6/4/2025