33D1107581 CLIA NUMBER - MIDDLETOWN DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D1107581
  • Facility Name: MIDDLETOWN DIALYSIS CENTER
  • Facility Address: 220 CRYSTAL RUN ROAD
    MIDDLETOWN, NY
    ZIP 10941
  • Facility Phone: (845) 695-1200
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ISHA GUPTA
  • NPI Number: 1780788554
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1107581
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MIDDLETOWN DIALYSIS CENTER
Street 220 CRYSTAL RUN ROAD
City MIDDLETOWN
State NY
ZIP 10941
Phone 8456951200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2009
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ISHA GUPTA

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This page was last updated on: 5/18/2026