10D0964421 CLIA NUMBER - FMC DIALYSIS SERVICES ALACHUA

Laboratory Demographics

CLIA Number: 10D0964421

Facility Name: FMC DIALYSIS SERVICES ALACHUA

Facility Address:
11550 RESEARCH CIRCLE
ALACHUA, FL
ZIP 32615
Get Directions

Facility Phone Number: 386 418-2235

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1073605796

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D0964421
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMC DIALYSIS SERVICES ALACHUA
Street 11550 RESEARCH CIRCLE
City ALACHUA
State FL
ZIP 32615
Phone 386 418-2235
CertificateType 4
CertificateEffectiveDate 8/25/2023
CertificateExpirationDate 8/24/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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