10D0894670 CLIA NUMBER - DIALYSIS CLINIC, INC

Laboratory Demographics

  • CLIA Code: 10D0894670
  • Facility Name: DIALYSIS CLINIC, INC
  • Facility Address: 11705 SAN JOSE BLVD STE 100
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 296-6362
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DWIGHT A. MORGAN
  • NPI Number: 1720011109
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0894670
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC
Street 11705 SAN JOSE BLVD STE 100
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 296-6362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DWIGHT A. MORGAN

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