33D2147969 CLIA NUMBER - SANDFORD BOULEVARD DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2147969
  • Facility Name: SANDFORD BOULEVARD DIALYSIS
  • Facility Address: 120 E SANDFORD BLVD
    MOUNT VERNON, NY
    ZIP 10550
  • Facility Phone: 914 655-2035
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SADIA SABOOR
  • NPI Number: 1508366386
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2147969
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SANDFORD BOULEVARD DIALYSIS
Street 120 E SANDFORD BLVD
City MOUNT VERNON
State NY
ZIP 10550
Phone 914 655-2035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2018
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SADIA SABOOR

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