33D2138147 CLIA NUMBER - CROSSWAYS PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2138147
  • Facility Name: CROSSWAYS PARK DIALYSIS
  • Facility Address: 113 CROSSWAYS PARK DR - SUITE 102
    WOODBURY, NY
    ZIP 11797
  • Facility Phone: 516 921-0914
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY T. COHEN
  • NPI Number: 1154856029
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2138147
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CROSSWAYS PARK DIALYSIS
Street 113 CROSSWAYS PARK DR - SUITE 102
City WOODBURY
State NY
ZIP 11797
Phone 516 921-0914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2017
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JEFFREY T. COHEN

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This page was last updated on: 6/4/2025