10D1077384 CLIA NUMBER - OCALA KIDNEY GROUP INC

Laboratory Demographics

  • CLIA Code: 10D1077384
  • Facility Name: OCALA KIDNEY GROUP INC
  • Facility Address: 2980 SE 3RD CT
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 622-4231
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IZUCHUKWU E. NWAKOBY
  • NPI Number: 1114590239
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1077384
LAB Type Physician Office
Facility Name OCALA KIDNEY GROUP INC
Street 2980 SE 3RD CT
City OCALA
State FL
ZIP 34471
Phone 352 622-4231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director IZUCHUKWU E. NWAKOBY

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