33D2162374 CLIA NUMBER - WINGATE DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2162374
  • Facility Name: WINGATE DIALYSIS
  • Facility Address: 550 KINGSTON AVE
    BROOKLYN, NY
    ZIP 11203
  • Facility Phone: 718 221-5342
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RONALD D. VILLAREAL
  • NPI Number: 1669961314
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2162374
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WINGATE DIALYSIS
Street 550 KINGSTON AVE
City BROOKLYN
State NY
ZIP 11203
Phone 718 221-5342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2019
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RONALD D. VILLAREAL

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