10D0673865 CLIA NUMBER - ADVANCED KIDNEY CARE MD PA

Laboratory Demographics

  • CLIA Code: 10D0673865
  • Facility Name: ADVANCED KIDNEY CARE MD PA
  • Facility Address: 4425 MILITARY RD STE 212
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 721-1112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID AMROSE
  • NPI Number: 1144333873
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0673865
LAB Type Physician Office
Facility Name ADVANCED KIDNEY CARE MD PA
Street 4425 MILITARY RD STE 212
City JUPITER
State FL
ZIP 33458
Phone 561 721-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director DAVID AMROSE

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