33D2129950 CLIA NUMBER - MOUNT HOPE DIALYSIS

Laboratory Demographics

CLIA Number: 33D2129950

Facility Name: MOUNT HOPE DIALYSIS

Facility Address:
1940 WEBSTER AVE - 2ND FL
BRONX, NY
ZIP 10457
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Facility Phone Number: 718 901-9122

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1326498205

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2129950
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MOUNT HOPE DIALYSIS
Street	1940 WEBSTER AVE - 2ND FL
City	BRONX
State	NY
ZIP	10457
Phone	718 901-9122
CertificateType	4
CertificateEffectiveDate	4/28/2017
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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