33D2165433 CLIA NUMBER - LONGWOOD DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2165433
  • Facility Name: LONGWOOD DIALYSIS
  • Facility Address: 931 BRUCKNER BLVD
    BRONX, NY
    ZIP 10459
  • Facility Phone: 718 378-0921
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GILL L. FREI
  • NPI Number: 1407415243
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2165433
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONGWOOD DIALYSIS
Street 931 BRUCKNER BLVD
City BRONX
State NY
ZIP 10459
Phone 718 378-0921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2019
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GILL L. FREI

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