10D0940846 CLIA NUMBER - CITRUS NEPHROLOGY ASSOCIATE

Laboratory Demographics

  • CLIA Code: 10D0940846
  • Facility Name: CITRUS NEPHROLOGY ASSOCIATE
  • Facility Address: 7415 W GULF TO LAKE HWY
    CRYSTAL RIVER, FL
    ZIP 34429
  • Facility Phone: 352 795-1415
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PADMA V. REDDY
  • NPI Number: 1528116027
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0940846
LAB Type Physician Office
Facility Name CITRUS NEPHROLOGY ASSOCIATE
Street 7415 W GULF TO LAKE HWY
City CRYSTAL RIVER
State FL
ZIP 34429
Phone 352 795-1415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director PADMA V. REDDY

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