Elmcare Dialysis
Director
							Jeny Varghese, M.D.
			Expiration Date
							Phone Number
							(929) 895-7482
			UID (Facility ID - Site ID)
							F212-0000
			Site ID
							0000
			City
							Elmhurst
			CLIA Number
							33D2256991
			Street Address
							79-21 Queens Blvd
			State
							NY
			Zip Code
							11373
			County
							Queens
			Country
							United States
			Fax Number
							(929) 895-7023
			Primary Contact
							Carrie Pence
			Contact Phone Number
							(615) 341-6410
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							F212