10D1102265 CLIA NUMBER - USF DIALYSIS

Laboratory Demographics

CLIA Number: 10D1102265

Facility Name: USF DIALYSIS

Facility Address:
10770 N 46TH ST STE A100
TAMPA, FL
ZIP 33617
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Facility Phone Number: 813 632-7918

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1518196252

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1102265
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	USF DIALYSIS
Street	10770 N 46TH ST STE A100
City	TAMPA
State	FL
ZIP	33617
Phone	813 632-7918
CertificateType	4
CertificateEffectiveDate	7/15/2023
CertificateExpirationDate	7/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024