10D1100343 CLIA NUMBER - EAST TAMPA DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1100343
  • Facility Name: EAST TAMPA DIALYSIS
  • Facility Address: 1701 EAST 9TH AVE
    YBOR CITY, FL
    ZIP 33605
  • Facility Phone: 813 247-1820
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ORLANDO CASTILLO
  • NPI Number: 1063657088
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1100343
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST TAMPA DIALYSIS
Street 1701 EAST 9TH AVE
City YBOR CITY
State FL
ZIP 33605
Phone 813 247-1820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ORLANDO CASTILLO

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