33D2015417 CLIA NUMBER - HAVEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2015417
  • Facility Name: HAVEN DIALYSIS
  • Facility Address: 60 HAVEN AVE - SUITE B3
    NEW YORK, NY
    ZIP 10032
  • Facility Phone: 212 928-9071
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHAYAN SHIRAZIAN
  • NPI Number: 1265477889
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2015417
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HAVEN DIALYSIS
Street 60 HAVEN AVE - SUITE B3
City NEW YORK
State NY
ZIP 10032
Phone 212 928-9071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2010
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SHAYAN SHIRAZIAN

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