33D2132900 CLIA NUMBER - CASSENA CARE DIALYSIS AT PENINSULA

Laboratory Demographics

CLIA Number: 33D2132900

Facility Name: CASSENA CARE DIALYSIS AT PENINSULA

Facility Address:
5015 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY
ZIP 11691
Get Directions

Facility Phone Number: 718 734-2189

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1568824423

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2132900
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CASSENA CARE DIALYSIS AT PENINSULA
Street	5015 BEACH CHANNEL DRIVE
City	FAR ROCKAWAY
State	NY
ZIP	11691
Phone	718 734-2189
CertificateType	4
CertificateEffectiveDate	6/29/2017
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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