33D1020588 CLIA NUMBER - FMS-QUEENS ARTIFICAL KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 33D1020588
  • Facility Name: FMS-QUEENS ARTIFICAL KIDNEY CENTER
  • Facility Address: 3435 70TH STREET
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 651-9700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SURENDA K. GUPTA
  • NPI Number: 1609997212
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1020588
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMS-QUEENS ARTIFICAL KIDNEY CENTER
Street 3435 70TH STREET
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 651-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2006
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SURENDA K. GUPTA

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