33D2121493 CLIA NUMBER - DSI NEWBURGH DIALYSIS

Laboratory Demographics

CLIA Number: 33D2121493

Facility Name: DSI NEWBURGH DIALYSIS

Facility Address:
39 N PLANK RD - SUITE 5
NEWBURGH, NY
ZIP 12550
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Facility Phone Number: 845 476-3788

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1104467984

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2121493
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DSI NEWBURGH DIALYSIS
Street	39 N PLANK RD - SUITE 5
City	NEWBURGH
State	NY
ZIP	12550
Phone	845 476-3788
CertificateType	4
CertificateEffectiveDate	11/7/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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