10D0984200 CLIA NUMBER - FORT PIERCE KIDNEY CARE

Laboratory Demographics

  • CLIA Code: 10D0984200
  • Facility Name: FORT PIERCE KIDNEY CARE
  • Facility Address: 2000 HARTMAN RD SUITE 2
    FORT PIERCE, FL
    ZIP 34947
  • Facility Phone: 772 467-1117
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: B AURORA TOMITA
  • NPI Number: 1821568627
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0984200
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FORT PIERCE KIDNEY CARE
Street 2000 HARTMAN RD SUITE 2
City FORT PIERCE
State FL
ZIP 34947
Phone 772 467-1117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director B AURORA TOMITA

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