33D2116633 CLIA NUMBER - WATERS PLACE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 33D2116633

Facility Name: WATERS PLACE DIALYSIS CENTER

Facility Address:
1733 EASTCHESTER RD
BRONX, NY
ZIP 10461
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Facility Phone Number: 718 822-1968

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1700227287

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	7/29/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024