10D1068862 CLIA NUMBER - CASSELBERRY DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1068862
  • Facility Name: CASSELBERRY DIALYSIS
  • Facility Address: 252 STATE ROAD 436
    CASSELBERRY, FL
    ZIP 32707
  • Facility Phone: 321 207-7135
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSE SANTINI
  • NPI Number: 1518598861
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 10D1068862
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CASSELBERRY DIALYSIS
Street 252 STATE ROAD 436
City CASSELBERRY
State FL
ZIP 32707
Phone 321 207-7135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOSE SANTINI

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