33D2187391 CLIA NUMBER - RIDGE CARE DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2187391
  • Facility Name: RIDGE CARE DIALYSIS
  • Facility Address: 1734 HANCOCK ST
    RIDGEWOOD, NY
    ZIP 11385
  • Facility Phone: 929 290-1267
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JENY VARGHESE
  • NPI Number: 1679192876
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2187391
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIDGE CARE DIALYSIS
Street 1734 HANCOCK ST
City RIDGEWOOD
State NY
ZIP 11385
Phone 929 290-1267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2020
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JENY VARGHESE

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