33D1085971 CLIA NUMBER - LIVERPOOL DIALYSIS CENTER LLC - LIVERPOOL LD LLC

Laboratory Demographics

  • CLIA Code: 33D1085971
  • Facility Name: LIVERPOOL DIALYSIS CENTER LLC - LIVERPOOL LD LLC
  • Facility Address: 1304 BUCKLEY ROAD
    SYRACUSE, NY
    ZIP 13212
  • Facility Phone: 315 671-9950
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PHILLIP ONDOCIN
  • NPI Number: 1922558048
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1085971
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIVERPOOL DIALYSIS CENTER LLC - LIVERPOOL LD LLC
Street 1304 BUCKLEY ROAD
City SYRACUSE
State NY
ZIP 13212
Phone 315 671-9950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2015
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PHILLIP ONDOCIN

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