33D1020585 CLIA NUMBER - SOUTH QUEENS DIALYSIS CENTER/NYDS

Laboratory Demographics

  • CLIA Code: 33D1020585
  • Facility Name: SOUTH QUEENS DIALYSIS CENTER/NYDS
  • Facility Address: 175-37 LIBERTY AVENUE
    JAMAICA, NY
    ZIP 11433
  • Facility Phone: 718 297-9100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. TAHIR HAFEEZ
  • NPI Number: 1205957446
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1020585
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH QUEENS DIALYSIS CENTER/NYDS
Street 175-37 LIBERTY AVENUE
City JAMAICA
State NY
ZIP 11433
Phone 718 297-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2010
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. TAHIR HAFEEZ

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