33D2193822 CLIA NUMBER - ULSTER DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 33D2193822
  • Facility Name: ULSTER DIALYSIS LLC
  • Facility Address: 900 MIRON LANE
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: 845 666-0790
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. BETH L. STEFANCHIK
  • NPI Number: 1952908386
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2193822
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ULSTER DIALYSIS LLC
Street 900 MIRON LANE
City KINGSTON
State NY
ZIP 12401
Phone 845 666-0790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2020
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. BETH L. STEFANCHIK

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