33D2158514 CLIA NUMBER - ALLERTON DIALYSIS

Laboratory Demographics

CLIA Number: 33D2158514

Facility Name: ALLERTON DIALYSIS

Facility Address:
2554 WHITE PLAINS RD
BRONX, NY
ZIP 10467
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Facility Phone Number: 718 231-1285

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1275032856

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2158514
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ALLERTON DIALYSIS
Street	2554 WHITE PLAINS RD
City	BRONX
State	NY
ZIP	10467
Phone	718 231-1285
CertificateType	4
CertificateEffectiveDate	11/30/2018
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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