10D0936607 CLIA NUMBER - PALM COAST DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D0936607
  • Facility Name: PALM COAST DIALYSIS
  • Facility Address: 13 KINGSWOOD DRIVE STE A
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 904 445-4445
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM FERGUSON
  • NPI Number: 1609998608
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0936607
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PALM COAST DIALYSIS
Street 13 KINGSWOOD DRIVE STE A
City PALM COAST
State FL
ZIP 32137
Phone 904 445-4445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM FERGUSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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