10D0295221 CLIA NUMBER - BRADENTON ARTIFICIAL KIDNEY CENTER

Laboratory Demographics

CLIA Number: 10D0295221

Facility Name: BRADENTON ARTIFICIAL KIDNEY CENTER

Facility Address:
5902 POINTE WEST BLVD
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 941 792-3290

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1508978354

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0295221
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BRADENTON ARTIFICIAL KIDNEY CENTER
Street	5902 POINTE WEST BLVD
City	BRADENTON
State	FL
ZIP	34209
Phone	941 792-3290
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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