33D2150246 CLIA NUMBER - LACONIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2150246
  • Facility Name: LACONIA DIALYSIS
  • Facility Address: 3400 BOSTON RD
    BRONX, NY
    ZIP 10469
  • Facility Phone: 718 388-6039
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NEELJA D. KUMAR
  • NPI Number: 1063932945
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2150246
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LACONIA DIALYSIS
Street 3400 BOSTON RD
City BRONX
State NY
ZIP 10469
Phone 718 388-6039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2018
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NEELJA D. KUMAR

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