33D2129951 CLIA NUMBER - MELROSE DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2129951
  • Facility Name: MELROSE DIALYSIS
  • Facility Address: 495 E 149TH STREET
    BRONX, NY
    ZIP 10455
  • Facility Phone: 718 585-4951
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GILL L. FREI
  • NPI Number: 1295189090
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2129951
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MELROSE DIALYSIS
Street 495 E 149TH STREET
City BRONX
State NY
ZIP 10455
Phone 718 585-4951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2017
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GILL L. FREI

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