10D0296619 CLIA NUMBER - HERNANDO KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D0296619
  • Facility Name: HERNANDO KIDNEY CENTER
  • Facility Address: 2985 LANDOVER BOULEVARD
    SPRING HILL, FL
    ZIP 34608
  • Facility Phone: 352 683-3630
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PURUSHOTTAM REDDY
  • NPI Number: 1881661288
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0296619
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HERNANDO KIDNEY CENTER
Street 2985 LANDOVER BOULEVARD
City SPRING HILL
State FL
ZIP 34608
Phone 352 683-3630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PURUSHOTTAM REDDY

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