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33D2291763 CLIA NUMBER - BETH ABRAHAM CENTER FOR RENAL DIALYSIS

Laboratory Demographics

CLIA Number: 33D2291763

Facility Name: BETH ABRAHAM CENTER FOR RENAL DIALYSIS

Facility Address:
612 ALLERTON AVE - BASEMENT
BRONX, NY
ZIP 10467
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Facility Phone Number: 718 307-5731

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1710910369

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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
CertificateType 4
CertificateEffectiveDate 10/16/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024