33D1067402 CLIA NUMBER - CARILLON DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 33D1067402
  • Facility Name: CARILLON DIALYSIS LLC
  • Facility Address: 830 PARK AVENUE
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 630-0398
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. AYDIN M. OLGUN
  • NPI Number: 1134289234
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1067402
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARILLON DIALYSIS LLC
Street 830 PARK AVENUE
City HUNTINGTON
State NY
ZIP 11743
Phone 631 630-0398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2007
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. AYDIN M. OLGUN

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