33D2182864 CLIA NUMBER - VAN WYCK DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2182864
  • Facility Name: VAN WYCK DIALYSIS
  • Facility Address: 91-30 VAN WYCK EXPRESSWAY
    JAMAICA, NY
    ZIP 11418
  • Facility Phone: 718 558-4382
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAYANAND V. HUDED
  • NPI Number: 1942792239
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2182864
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VAN WYCK DIALYSIS
Street 91-30 VAN WYCK EXPRESSWAY
City JAMAICA
State NY
ZIP 11418
Phone 718 558-4382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2020
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DAYANAND V. HUDED

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