33D2119250 CLIA NUMBER - HUTCHINSON RIVER DIALYSIS

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Laboratory Demographics

CLIA Number: 33D2119250

Facility Name: HUTCHINSON RIVER DIALYSIS

Facility Address:
2331 EASTCHESTER ROAD
BRONX, NY
ZIP 10469
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Facility Phone Number: 718 547-0612

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1962957993

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2119250
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HUTCHINSON RIVER DIALYSIS
Street	2331 EASTCHESTER ROAD
City	BRONX
State	NY
ZIP	10469
Phone	718 547-0612
CertificateType	4
CertificateEffectiveDate	9/22/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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