10D1105726 CLIA NUMBER - PINELLAS WEST SHORE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1105726
  • Facility Name: PINELLAS WEST SHORE DIALYSIS
  • Facility Address: 3451 66TH ST N STE A
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 345-8389
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IGNACIO A. SOTOLONGO
  • NPI Number: 1669604070
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1105726
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PINELLAS WEST SHORE DIALYSIS
Street 3451 66TH ST N STE A
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 345-8389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IGNACIO A. SOTOLONGO

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