10D1045777 CLIA NUMBER - SANFORD DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1045777
  • Facility Name: SANFORD DIALYSIS
  • Facility Address: 902 S PERSIMMON AVE
    SANFORD, FL
    ZIP 32771
  • Facility Phone: 407 268-9425
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALFRED RODRIGUEZ
  • NPI Number: 1699186338
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D1045777
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SANFORD DIALYSIS
Street 902 S PERSIMMON AVE
City SANFORD
State FL
ZIP 32771
Phone 407 268-9425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALFRED RODRIGUEZ

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