33D2069582 CLIA NUMBER - PLATTSBURGH ASSOC LLC DBA HK FREEDMAN RENAL CTR

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Laboratory Demographics

CLIA Number: 33D2069582

Facility Name: PLATTSBURGH ASSOC LLC DBA HK FREEDMAN RENAL CTR

Facility Address:
91 PLAZA BLVD
PLATTSBURGH, NY
ZIP 12901
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Facility Phone Number: 518 566-7043

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730517285

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2069582
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	PLATTSBURGH ASSOC LLC DBA HK FREEDMAN RENAL CTR
Street	91 PLAZA BLVD
City	PLATTSBURGH
State	NY
ZIP	12901
Phone	518 566-7043
CertificateType	4
CertificateEffectiveDate	11/27/2013
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024