10D1096006 CLIA NUMBER - AVE MARIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1096006
  • Facility Name: AVE MARIA DIALYSIS
  • Facility Address: 5340 USEPPA DR
    AVE MARIA, FL
    ZIP 34142
  • Facility Phone: 239 304-0198
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN E. CONREY
  • NPI Number: 1568609808
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1096006
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AVE MARIA DIALYSIS
Street 5340 USEPPA DR
City AVE MARIA
State FL
ZIP 34142
Phone 239 304-0198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN E. CONREY

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