33D2111206 CLIA NUMBER - DIALYSIS CLINIC INC - EAST GREENBUSH

Laboratory Demographics

  • CLIA Code: 33D2111206
  • Facility Name: DIALYSIS CLINIC INC - EAST GREENBUSH
  • Facility Address: 583 COLUMBIA TURNPIKE
    EAST GREENBUSH, NY
    ZIP 12061
  • Facility Phone: 518 477-4217
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KRISHNKUMAR D. HONGALGI
  • NPI Number: 1215464987
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2111206
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC - EAST GREENBUSH
Street 583 COLUMBIA TURNPIKE
City EAST GREENBUSH
State NY
ZIP 12061
Phone 518 477-4217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2016
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KRISHNKUMAR D. HONGALGI

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