Melrose Dialysis
Director
							Gill L. Frei, M.D.
			Expiration Date
							Phone Number
							(718) 585-4951
			UID (Facility ID - Site ID)
							W981-0000
			Site ID
							0000
			City
							Bronx
			CLIA Number
							33D2129951
			Street Address
							459 E 149th Street
			State
							NY
			Zip Code
							10455-1314
			County
							Bronx
			Country
							United States
			Fax Number
							(718) 292-9823
			Primary Contact
							Carrie Pence
			Contact Phone Number
							(615) 341-6410
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							W981
			