10D0662233 CLIA NUMBER - FRESENIUS MEDICAL CARE TAMPA LLC DBA BMA OF TAMPA

Laboratory Demographics

CLIA Number: 10D0662233

Facility Name: FRESENIUS MEDICAL CARE TAMPA LLC DBA BMA OF TAMPA

Facility Address:
3614 W KENNEDY BLVD
TAMPA, FL
ZIP 33609
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Facility Phone Number: 813 348-2922

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1366908691

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0662233
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE TAMPA LLC DBA BMA OF TAMPA
Street	3614 W KENNEDY BLVD
City	TAMPA
State	FL
ZIP	33609
Phone	813 348-2922
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