33D2273759 CLIA NUMBER - ST JOSEPH'S DIALYSIS - CAMILLUS

Laboratory Demographics

  • CLIA Code: 33D2273759
  • Facility Name: ST JOSEPH'S DIALYSIS - CAMILLUS
  • Facility Address: 5101 W GENESEE ST
    CAMILLUS, NY
    ZIP 13031
  • Facility Phone: 315 488-2979
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PAWAN K. RAO
  • NPI Number: 1548407943
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2273759
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST JOSEPH'S DIALYSIS - CAMILLUS
Street 5101 W GENESEE ST
City CAMILLUS
State NY
ZIP 13031
Phone 315 488-2979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2022
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PAWAN K. RAO

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