33D2291763 CLIA NUMBER - BETH ABRAHAM CENTER FOR RENAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 33D2291763
  • Facility Name: BETH ABRAHAM CENTER FOR RENAL DIALYSIS
  • Facility Address: 612 ALLERTON AVE - BASEMENT
    BRONX, NY
    ZIP 10467
  • Facility Phone: 718 307-5731
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL R. GUCCIONE
  • NPI Number: 1710910369
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2291763
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BETH ABRAHAM CENTER FOR RENAL DIALYSIS
Street 612 ALLERTON AVE - BASEMENT
City BRONX
State NY
ZIP 10467
Phone 718 307-5731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MICHAEL R. GUCCIONE

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