33D2269965 CLIA NUMBER - MVNY PARTNERS I LLC DBA US RENAL CARE FAXTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2269965
  • Facility Name: MVNY PARTNERS I LLC DBA US RENAL CARE FAXTON DIALYSIS
  • Facility Address: 1676 SUNSET AVE
    UTICA, NY
    ZIP 13502
  • Facility Phone: 315 624-5660
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. AHMAD MIAN
  • NPI Number: 1336881713
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2269965
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MVNY PARTNERS I LLC DBA US RENAL CARE FAXTON DIALYSIS
Street 1676 SUNSET AVE
City UTICA
State NY
ZIP 13502
Phone 315 624-5660
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: 9/29/2025