33D2189919 CLIA NUMBER - CONDUIT AVE DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2189919
  • Facility Name: CONDUIT AVE DIALYSIS
  • Facility Address: 21910 S CONDUIT AVE
    SPRINGFIELD GARDENS, NY
    ZIP 11413
  • Facility Phone: 718 341-0107
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID SCOTT
  • NPI Number: 1740945310
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2189919
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CONDUIT AVE DIALYSIS
Street 21910 S CONDUIT AVE
City SPRINGFIELD GARDENS
State NY
ZIP 11413
Phone 718 341-0107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2020
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DAVID SCOTT

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