33D2123813 CLIA NUMBER - EAST END DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 33D2123813
  • Facility Name: EAST END DIALYSIS CENTER
  • Facility Address: 762 HARRISON AVENUE
    RIVERHEAD, NY
    ZIP 11901
  • Facility Phone: 631 369-2005
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. HASAN K. KHONDKER
  • NPI Number: 1780891648
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2123813
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST END DIALYSIS CENTER
Street 762 HARRISON AVENUE
City RIVERHEAD
State NY
ZIP 11901
Phone 631 369-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2017
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. HASAN K. KHONDKER

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