10D0917288 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF FLORIDA DBA BMA OF STARKE

Laboratory Demographics

CLIA Number: 10D0917288

Facility Name: BIO-MEDICAL APPLICATIONS OF FLORIDA DBA BMA OF STARKE

Facility Address:
444 WEST MADISON STREET
STARKE, FL
ZIP 32091
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Facility Phone Number: 904 964-8822

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1154433910

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0917288
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF FLORIDA DBA BMA OF STARKE
Street	444 WEST MADISON STREET
City	STARKE
State	FL
ZIP	32091
Phone	904 964-8822
CertificateType	4
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	Waiver

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