33D2106883 CLIA NUMBER - BOROUGH PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2106883
  • Facility Name: BOROUGH PARK DIALYSIS
  • Facility Address: 4102 13TH AVE
    BROOKLYN, NY
    ZIP 11219
  • Facility Phone: 718 435-2112
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHELDON GREENBERG
  • NPI Number: 1699166926
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2106883
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BOROUGH PARK DIALYSIS
Street 4102 13TH AVE
City BROOKLYN
State NY
ZIP 11219
Phone 718 435-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2015
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SHELDON GREENBERG

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