10D2048733 CLIA NUMBER - DOWNTOWN PENSACOLA DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2048733
  • Facility Name: DOWNTOWN PENSACOLA DIALYSIS
  • Facility Address: 700 E CERVANTES ST STE A
    PENSACOLA, FL
    ZIP 32501
  • Facility Phone: 850 433-1534
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHADI E. OWEIS
  • NPI Number: 1639445463
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2048733
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DOWNTOWN PENSACOLA DIALYSIS
Street 700 E CERVANTES ST STE A
City PENSACOLA
State FL
ZIP 32501
Phone 850 433-1534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHADI E. OWEIS

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