10D0871739 CLIA NUMBER - JUPITER KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D0871739
  • Facility Name: JUPITER KIDNEY CENTER
  • Facility Address: 1701 MILITARY TRAIL
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 744-4661
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JACK WATERMAN
  • NPI Number: 1720062425
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0871739
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JUPITER KIDNEY CENTER
Street 1701 MILITARY TRAIL
City JUPITER
State FL
ZIP 33458
Phone 561 744-4661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JACK WATERMAN

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