33D2017045 CLIA NUMBER - SOUTHTOWNS DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2017045
  • Facility Name: SOUTHTOWNS DIALYSIS
  • Facility Address: 4910 CAMP RD - SUITE 100
    HAMBURG, NY
    ZIP 14075
  • Facility Phone: 716 649-4072
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NAGARAJA R. SRIDHAR
  • NPI Number: 1184930083
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2017045
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHTOWNS DIALYSIS
Street 4910 CAMP RD - SUITE 100
City HAMBURG
State NY
ZIP 14075
Phone 716 649-4072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2010
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NAGARAJA R. SRIDHAR

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