10D1102265 CLIA NUMBER - USF DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1102265
  • Facility Name: USF DIALYSIS
  • Facility Address: 10770 N 46TH ST STE A100
    TAMPA, FL
    ZIP 33617
  • Facility Phone: 813 632-7918
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAMON A. LOPEZ DEL VALLE
  • NPI Number: 1518196252
  • Taxonomy: 261QE0700X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAMON A. LOPEZ DEL VALLE

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