33D2109159 CLIA NUMBER - FREEDOM CENTER OF WESTMERE

Laboratory Demographics

CLIA Number: 33D2109159

Facility Name: FREEDOM CENTER OF WESTMERE

Facility Address:
178 WASHINGTON AVE EXT - SUITE 103
ALBANY, NY
ZIP 12203
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Facility Phone Number: (518) 407-0505

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1467808030

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2109159
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FREEDOM CENTER OF WESTMERE
Street	178 WASHINGTON AVE EXT - SUITE 103
City	ALBANY
State	NY
ZIP	12203
Phone	(518) 407-0505

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This page was last updated on: 5/11/2023