10D0954834 CLIA NUMBER - CELEBRATION DIALYSIS

Laboratory Demographics

CLIA Number: 10D0954834

Facility Name: CELEBRATION DIALYSIS

Facility Address:
1154 CELEBRATION BLVD
KISSIMMEE, FL
ZIP 34747
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Facility Phone Number: 407 566-1780

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1043287550

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0954834
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CELEBRATION DIALYSIS
Street	1154 CELEBRATION BLVD
City	KISSIMMEE
State	FL
ZIP	34747
Phone	407 566-1780
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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