10D0715085 CLIA NUMBER - BARTOW DIALYSIS

Laboratory Demographics

CLIA Number: 10D0715085

Facility Name: BARTOW DIALYSIS

Facility Address:
2295 E FLAMINGO DRIVE
BARTOW, FL
ZIP 33830
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Facility Phone Number: (813) 533-1601

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1174590749

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0715085
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	BARTOW DIALYSIS
Street	2295 E FLAMINGO DRIVE
City	BARTOW
State	FL
ZIP	33830
Phone	(813) 533-1601

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This page was last updated on: 5/11/2023