33D1091783 CLIA NUMBER - YONKERS EAST DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D1091783
  • Facility Name: YONKERS EAST DIALYSIS CENTER
  • Facility Address: 5 ODELL PLAZA - SUITE 131
    YONKERS, NY
    ZIP 10701
  • Facility Phone: 914 376-0296
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOLLY MATTHEW
  • NPI Number: 1164670113
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1091783
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name YONKERS EAST DIALYSIS CENTER
Street 5 ODELL PLAZA - SUITE 131
City YONKERS
State NY
ZIP 10701
Phone 914 376-0296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2008
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JOLLY MATTHEW

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