10D1073575 CLIA NUMBER - REGENCY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D1073575
  • Facility Name: REGENCY DIALYSIS CENTER
  • Facility Address: 9535 REGENCY SQUARE BLVD N
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 904 725-0526
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KADIR MANSUR
  • NPI Number: 1821291147
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1073575
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name REGENCY DIALYSIS CENTER
Street 9535 REGENCY SQUARE BLVD N
City JACKSONVILLE
State FL
ZIP 32225
Phone 904 725-0526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KADIR MANSUR

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