10D1071950 CLIA NUMBER - BRADENTON DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1071950
  • Facility Name: BRADENTON DIALYSIS CENTER LLC
  • Facility Address: 5837 21ST AVENUE WEST
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 792-7800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CELESTINO PALOMINO MD
  • NPI Number: 1174646558
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1071950
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRADENTON DIALYSIS CENTER LLC
Street 5837 21ST AVENUE WEST
City BRADENTON
State FL
ZIP 34209
Phone 941 792-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CELESTINO PALOMINO MD

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