33D2169640 CLIA NUMBER - WEST FARMS DIALYSIS

Laboratory Demographics

CLIA Number: 33D2169640

Facility Name: WEST FARMS DIALYSIS

Facility Address:
1820 E TREAMONT AVE
BRONX, NY
ZIP 10460
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Facility Phone Number: 718 824-0245

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730676743

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2169640
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WEST FARMS DIALYSIS
Street	1820 E TREAMONT AVE
City	BRONX
State	NY
ZIP	10460
Phone	718 824-0245
CertificateType	4
CertificateEffectiveDate	7/24/2019
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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