33D2041560 CLIA NUMBER - MOHAWK VALLEY DIALYSIS CENTER INC

Laboratory Demographics

  • CLIA Code: 33D2041560
  • Facility Name: MOHAWK VALLEY DIALYSIS CENTER INC
  • Facility Address: 115 TOWNE SQUARE DRIVE
    AMSTERDAM, NY
    ZIP 12010
  • Facility Phone: 518 627-0280
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SOO G. LEE
  • NPI Number: 1750642971
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2041560
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MOHAWK VALLEY DIALYSIS CENTER INC
Street 115 TOWNE SQUARE DRIVE
City AMSTERDAM
State NY
ZIP 12010
Phone 518 627-0280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2012
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SOO G. LEE

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