33D2149569 CLIA NUMBER - ISLAND REHAB SERVICES - CLOVE LAKES EXTENSION

Laboratory Demographics

  • CLIA Code: 33D2149569
  • Facility Name: ISLAND REHAB SERVICES - CLOVE LAKES EXTENSION
  • Facility Address: 25 FANNING STREET
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: (347) 671-8399
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MORTON J. KLEINER

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2149569
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ISLAND REHAB SERVICES - CLOVE LAKES EXTENSION
Street 25 FANNING STREET
City STATEN ISLAND
State NY
ZIP 10314
Phone 3476718399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2018
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MORTON J. KLEINER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026