10D2015889 CLIA NUMBER - ARA NAPLES SOUTH DIALYSIS CENTER

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Laboratory Demographics

CLIA Number: 10D2015889

Facility Name: ARA NAPLES SOUTH DIALYSIS CENTER

Facility Address:
4270 TAMIAMI TRL E
NAPLES, FL
ZIP 34112
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Facility Phone Number: 561 893-6899

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1134437213

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2015889
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ARA NAPLES SOUTH DIALYSIS CENTER
Street	4270 TAMIAMI TRL E
City	NAPLES
State	FL
ZIP	34112
Phone	561 893-6899
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

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