33D2047484 CLIA NUMBER - GRAND CONCOURSE DIALYSIS FACILITY

Laboratory Demographics

  • CLIA Code: 33D2047484
  • Facility Name: GRAND CONCOURSE DIALYSIS FACILITY
  • Facility Address: 1490 MACOMBS RD
    BRONX, NY
    ZIP 10452
  • Facility Phone: (718) 583-1800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MORTON J. KLEINER
  • NPI Number: 1740400431
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2047484
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GRAND CONCOURSE DIALYSIS FACILITY
Street 1490 MACOMBS RD
City BRONX
State NY
ZIP 10452
Phone 7185831800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2012
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MORTON J. KLEINER

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