10D1067259 CLIA NUMBER - INDIAN RIVER DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D1067259
  • Facility Name: INDIAN RIVER DIALYSIS CENTER
  • Facility Address: 2150 45TH ST
    VERO BEACH, FL
    ZIP 32967
  • Facility Phone: 772 567-2529
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD J. HANDLER
  • NPI Number: 1528113156
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1067259
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INDIAN RIVER DIALYSIS CENTER
Street 2150 45TH ST
City VERO BEACH
State FL
ZIP 32967
Phone 772 567-2529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD J. HANDLER

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