10D2052506 CLIA NUMBER - PALATKA DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2052506
  • Facility Name: PALATKA DIALYSIS
  • Facility Address: 326 ZEAGLER DR
    PALATKA, FL
    ZIP 32177
  • Facility Phone: 386 329-9458
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BAUDOUIN LECLERCQ
  • NPI Number: 1124378518
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2052506
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PALATKA DIALYSIS
Street 326 ZEAGLER DR
City PALATKA
State FL
ZIP 32177
Phone 386 329-9458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BAUDOUIN LECLERCQ

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