33D2078959 CLIA NUMBER - DOWNTOWN RENAL MEDICINE PC

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Laboratory Demographics

CLIA Number: 33D2078959

Facility Name: DOWNTOWN RENAL MEDICINE PC

Facility Address:
202 CANAL STREET, SUITE 305
NEW YORK, NY
ZIP 10013
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Facility Phone Number: 212 334-8108

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487673794

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	33D2078959
LAB Type	Physician Office
Facility Name	DOWNTOWN RENAL MEDICINE PC
Street	202 CANAL STREET, SUITE 305
City	NEW YORK
State	NY
ZIP	10013
Phone	212 334-8108
CertificateType	4
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Waiver

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