10D1028160 CLIA NUMBER - CYPRESS CREEK DIALYSIS CTR

Laboratory Demographics

  • CLIA Code: 10D1028160
  • Facility Name: CYPRESS CREEK DIALYSIS CTR
  • Facility Address: 952 CYPRESS VILLAGE BLVD
    RUSKIN, FL
    ZIP 33573
  • Facility Phone: 813 642-9209
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CELESTINO PALOMINO
  • NPI Number: 1972615573
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1028160
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CYPRESS CREEK DIALYSIS CTR
Street 952 CYPRESS VILLAGE BLVD
City RUSKIN
State FL
ZIP 33573
Phone 813 642-9209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CELESTINO PALOMINO

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