10D0665856 CLIA NUMBER - ORLANDO DIALYSIS

Laboratory Demographics

CLIA Number: 10D0665856

Facility Name: ORLANDO DIALYSIS

Facility Address:
116 STURTEVANT STREET
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 426-9212

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1356319859

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0665856
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ORLANDO DIALYSIS
Street	116 STURTEVANT STREET
City	ORLANDO
State	FL
ZIP	32806
Phone	407 426-9212
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

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