33D2064432 CLIA NUMBER - LONG ISLAND RENAL CARE

Laboratory Demographics

  • CLIA Code: 33D2064432
  • Facility Name: LONG ISLAND RENAL CARE
  • Facility Address: 3460 GREAT NECK ROAD
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 631 532-6969
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. YELENA ROSENBERG
  • NPI Number: 1457774002
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2064432
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONG ISLAND RENAL CARE
Street 3460 GREAT NECK ROAD
City AMITYVILLE
State NY
ZIP 11701
Phone 631 532-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2013
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. YELENA ROSENBERG

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