33D2165432 CLIA NUMBER - UNIVERSITY HEIGHTS DIALYSIS

Laboratory Demographics

CLIA Number: 33D2165432

Facility Name: UNIVERSITY HEIGHTS DIALYSIS

Facility Address:
2190 JEROME AVE
BRONX, NY
ZIP 10453
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Facility Phone Number: 718 584-5746

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1013410133

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2165432
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	UNIVERSITY HEIGHTS DIALYSIS
Street	2190 JEROME AVE
City	BRONX
State	NY
ZIP	10453
Phone	718 584-5746
CertificateType	4
CertificateEffectiveDate	4/26/2019
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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