33D1020582 CLIA NUMBER - ST ALBANS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D1020582
  • Facility Name: ST ALBANS DIALYSIS CENTER
  • Facility Address: 172-70 BAISLEY BLVD
    JAMAICA, NY
    ZIP 11434
  • Facility Phone: 718 949-1600
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DHARMESHKUMAR SUTARIYA
  • NPI Number: 1508988213
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1020582
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST ALBANS DIALYSIS CENTER
Street 172-70 BAISLEY BLVD
City JAMAICA
State NY
ZIP 11434
Phone 718 949-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2007
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DHARMESHKUMAR SUTARIYA

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