10D1050082 CLIA NUMBER - MIDDLEBURG DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D1050082
  • Facility Name: MIDDLEBURG DIALYSIS CENTER
  • Facility Address: 2070 PALMETTO ST UNIT 9
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 904 406-5560
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID H. MICHAL
  • NPI Number: 1871518670
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1050082
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MIDDLEBURG DIALYSIS CENTER
Street 2070 PALMETTO ST UNIT 9
City MIDDLEBURG
State FL
ZIP 32068
Phone 904 406-5560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID H. MICHAL

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