33D2072084 CLIA NUMBER - ELIZABETHTOWN CENTER LLC

Laboratory Demographics

  • CLIA Code: 33D2072084
  • Facility Name: ELIZABETHTOWN CENTER LLC
  • Facility Address: 75 PARK STREET
    ELIZABETHTOWN, NY
    ZIP 12932
  • Facility Phone: 518 873-2162
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CRAIG G. HURWITZ
  • NPI Number: 1053742569
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2072084
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELIZABETHTOWN CENTER LLC
Street 75 PARK STREET
City ELIZABETHTOWN
State NY
ZIP 12932
Phone 518 873-2162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2014
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CRAIG G. HURWITZ

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