33D2116633 CLIA NUMBER - WATERS PLACE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D2116633
  • Facility Name: WATERS PLACE DIALYSIS CENTER
  • Facility Address: 1733 EASTCHESTER RD
    BRONX, NY
    ZIP 10461
  • Facility Phone: 718 822-1968
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. BUN JIM
  • NPI Number: 1700227287
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2116633
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WATERS PLACE DIALYSIS CENTER
Street 1733 EASTCHESTER RD
City BRONX
State NY
ZIP 10461
Phone 718 822-1968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2016
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. BUN JIM

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