33D2067682 CLIA NUMBER - STATEN ISLAND DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D2067682
  • Facility Name: STATEN ISLAND DIALYSIS CENTER
  • Facility Address: 1139 HYLAN BLVD
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: 718 816-4913
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MEILIN ZHANG
  • NPI Number: 1366876948
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2067682
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name STATEN ISLAND DIALYSIS CENTER
Street 1139 HYLAN BLVD
City STATEN ISLAND
State NY
ZIP 10305
Phone 718 816-4913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2013
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MEILIN ZHANG

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