33D2033544 CLIA NUMBER - RIVER RENAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 33D2033544
  • Facility Name: RIVER RENAL SERVICES INC
  • Facility Address: 462 FIRST AVE - HOSPITAL BLDG 5 NORTH
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 889-0770
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL MATALON
  • NPI Number: 1194014191
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2033544
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVER RENAL SERVICES INC
Street 462 FIRST AVE - HOSPITAL BLDG 5 NORTH
City NEW YORK
State NY
ZIP 10016
Phone 212 889-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2011
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DANIEL MATALON

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