33D1074642 CLIA NUMBER - FLUSHING MANOR DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 33D1074642
  • Facility Name: FLUSHING MANOR DIALYSIS CENTER LLC
  • Facility Address: 36-17 PARSONS BLVD
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 718 961-4300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RITESH RAICHOUDHURY
  • NPI Number: 1285843904
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1074642
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FLUSHING MANOR DIALYSIS CENTER LLC
Street 36-17 PARSONS BLVD
City FLUSHING
State NY
ZIP 11354
Phone 718 961-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2007
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RITESH RAICHOUDHURY

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