10D0947928 CLIA NUMBER - CLEWISTON DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0947928
  • Facility Name: CLEWISTON DIALYSIS CENTER LLC
  • Facility Address: 851 WEST VENTURA AVE
    CLEWISTON, FL
    ZIP 33440
  • Facility Phone: 863 983-8855
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARUN AMATYA
  • NPI Number: 1144628017
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0947928
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLEWISTON DIALYSIS CENTER LLC
Street 851 WEST VENTURA AVE
City CLEWISTON
State FL
ZIP 33440
Phone 863 983-8855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARUN AMATYA

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