10D0903464 CLIA NUMBER - WEST TAMPA DIALYSIS

Laboratory Demographics

CLIA Number: 10D0903464

Facility Name: WEST TAMPA DIALYSIS

Facility Address:
4515 GEORGE ROAD SUITE 300
TAMPA, FL
ZIP 33634
Get Directions

Facility Phone Number: 813 884-4008

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1881662120

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0903464
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WEST TAMPA DIALYSIS
Street	4515 GEORGE ROAD SUITE 300
City	TAMPA
State	FL
ZIP	33634
Phone	813 884-4008
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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