10D0023783 CLIA NUMBER - CENTRAL FLORIDA KIDNEY CENTER INC DBA MELBOURNE KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D0023783
  • Facility Name: CENTRAL FLORIDA KIDNEY CENTER INC DBA MELBOURNE KIDNEY CENTER
  • Facility Address: 1400 S APOLLO BLVD
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 724-0431
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANNETTE MILLER
  • NPI Number: 1245236876
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0023783
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTRAL FLORIDA KIDNEY CENTER INC DBA MELBOURNE KIDNEY CENTER
Street 1400 S APOLLO BLVD
City MELBOURNE
State FL
ZIP 32901
Phone 321 724-0431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANNETTE MILLER

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