33D2114756 CLIA NUMBER - ROTTERDAM SCHENECTADY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D2114756
  • Facility Name: ROTTERDAM SCHENECTADY DIALYSIS CENTER
  • Facility Address: 1594 STATE STREET
    SCHENECTADY, NY
    ZIP 12304
  • Facility Phone: 781 787-2110
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. HANI SHANATA
  • NPI Number: 1962862730
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2114756
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROTTERDAM SCHENECTADY DIALYSIS CENTER
Street 1594 STATE STREET
City SCHENECTADY
State NY
ZIP 12304
Phone 781 787-2110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2016
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. HANI SHANATA

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