33D2093362 CLIA NUMBER - FMS EASTCHESTER DIALYSIS

Laboratory Demographics

CLIA Number: 33D2093362

Facility Name: FMS EASTCHESTER DIALYSIS

Facility Address:
1776 EASTCHESTER ROAD
BRONX, NY
ZIP 10461
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Facility Phone Number: 718 792-0470

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1851618953

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 33D2093362
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMS EASTCHESTER DIALYSIS
Street 1776 EASTCHESTER ROAD
City BRONX
State NY
ZIP 10461
Phone 718 792-0470
CertificateType 4
CertificateEffectiveDate 3/25/2015
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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