33D1065601 CLIA NUMBER - ST JOSEPH'S DIALYSIS - CORTLAND

Laboratory Demographics

  • CLIA Code: 33D1065601
  • Facility Name: ST JOSEPH'S DIALYSIS - CORTLAND
  • Facility Address: 3993 WEST ROAD
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 662-0140
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SALIL GUPTA
  • NPI Number: 1235376633
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1065601
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST JOSEPH'S DIALYSIS - CORTLAND
Street 3993 WEST ROAD
City CORTLAND
State NY
ZIP 13045
Phone 607 662-0140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2007
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SALIL GUPTA

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This page was last updated on: 6/4/2025