33D1020591 CLIA NUMBER - FMS - NEPHRO - CARE - WEST

Laboratory Demographics

  • CLIA Code: 33D1020591
  • Facility Name: FMS - NEPHRO - CARE - WEST
  • Facility Address: 358-362 4TH AVENUE
    BROOKLYN, NY
    ZIP 11215
  • Facility Phone: 718 858-6675
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NEAL MITTMAN
  • NPI Number: 1407950272
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1020591
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMS - NEPHRO - CARE - WEST
Street 358-362 4TH AVENUE
City BROOKLYN
State NY
ZIP 11215
Phone 718 858-6675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2003
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NEAL MITTMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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