33D2213330 CLIA NUMBER - CITADEL RENAL CENTER, LLC

Laboratory Demographics

CLIA Number: 33D2213330

Facility Name: CITADEL RENAL CENTER, LLC

Facility Address:
100 WEST KINGSBRIDGE RD
BRONX, NY
ZIP 10468
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Facility Phone Number: (347) 982-2420

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1144866252

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2213330
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	CITADEL RENAL CENTER, LLC
Street	100 WEST KINGSBRIDGE RD
City	BRONX
State	NY
ZIP	10468
Phone	(347) 982-2420

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This page was last updated on: 5/11/2023