10D1022832 CLIA NUMBER - RENAL CARE GROUP BREVARD

Laboratory Demographics

  • CLIA Code: 10D1022832
  • Facility Name: RENAL CARE GROUP BREVARD
  • Facility Address: 1355 PALM BAY ROAD
    MELBOURNE, FL
    ZIP 32905
  • Facility Phone: 321 768-9801
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHARON POWELL
  • NPI Number: 1891807640
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1022832
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP BREVARD
Street 1355 PALM BAY ROAD
City MELBOURNE
State FL
ZIP 32905
Phone 321 768-9801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHARON POWELL

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