10D0974638 CLIA NUMBER - ORANGE CITY DIALYSIS ROYAL OAK BUILDING II

Laboratory Demographics

  • CLIA Code: 10D0974638
  • Facility Name: ORANGE CITY DIALYSIS ROYAL OAK BUILDING II
  • Facility Address: 2575 S VOLUSIA AVE STE 400
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 775-0118
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HARJAS MOORJANI
  • NPI Number: 1376197855
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D0974638
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ORANGE CITY DIALYSIS ROYAL OAK BUILDING II
Street 2575 S VOLUSIA AVE STE 400
City ORANGE CITY
State FL
ZIP 32763
Phone 386 775-0118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HARJAS MOORJANI

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