33D2269964 CLIA NUMBER - MVNY PARTNERS II LLC DBA US RENAL CARE ST LUKE'S DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2269964
  • Facility Name: MVNY PARTNERS II LLC DBA US RENAL CARE ST LUKE'S DIALYSIS
  • Facility Address: 1650 CHAMPLIN AVE
    UTICA, NY
    ZIP 13502
  • Facility Phone: (315) 624-5145
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. AHMAD MIAN
  • NPI Number: 1487396867
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2269964
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MVNY PARTNERS II LLC DBA US RENAL CARE ST LUKE'S DIALYSIS
Street 1650 CHAMPLIN AVE
City UTICA
State NY
ZIP 13502
Phone 3156245145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2022
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. AHMAD MIAN

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This page was last updated on: 5/18/2026