33D1041013 CLIA NUMBER - CAPITAL DISTRICT DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D1041013
  • Facility Name: CAPITAL DISTRICT DIALYSIS CENTER
  • Facility Address: 650 MCCLELLAN STREET
    SCHENECTADY, NY
    ZIP 12304
  • Facility Phone: 518 382-0210
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL DIRUSSO
  • NPI Number: 1912233065
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1041013
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAPITAL DISTRICT DIALYSIS CENTER
Street 650 MCCLELLAN STREET
City SCHENECTADY
State NY
ZIP 12304
Phone 518 382-0210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2005
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MICHAEL DIRUSSO

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