33D2196530 CLIA NUMBER - KINGS HIGHWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2196530
  • Facility Name: KINGS HIGHWAY DIALYSIS
  • Facility Address: 5518 AVE N
    BROOKLYN, NY
    ZIP 11234
  • Facility Phone: 718 258-0609
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARIE A. BENTSIANOV
  • NPI Number: 1043839269
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2196530
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KINGS HIGHWAY DIALYSIS
Street 5518 AVE N
City BROOKLYN
State NY
ZIP 11234
Phone 718 258-0609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2020
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MARIE A. BENTSIANOV

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