33D2162375 CLIA NUMBER - LONG ISLAND CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2162375
  • Facility Name: LONG ISLAND CITY DIALYSIS
  • Facility Address: 30-46 NORTHERN BLVD
    LONG ISLAND CITY, NY
    ZIP 11101
  • Facility Phone: 718 752-1601
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. VICTORIA BELLOT
  • NPI Number: 1194210567
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2162375
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONG ISLAND CITY DIALYSIS
Street 30-46 NORTHERN BLVD
City LONG ISLAND CITY
State NY
ZIP 11101
Phone 718 752-1601
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. VICTORIA BELLOT

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