10D2069804 CLIA NUMBER - WINTER HAVEN SOUTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2069804
  • Facility Name: WINTER HAVEN SOUTH DIALYSIS
  • Facility Address: 7220 CYPRESS GARDENS BLVD
    WINTER HAVEN, FL
    ZIP 33884
  • Facility Phone: 863 324-8406
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAVED A. SYED
  • NPI Number: 1154998995
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2069804
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WINTER HAVEN SOUTH DIALYSIS
Street 7220 CYPRESS GARDENS BLVD
City WINTER HAVEN
State FL
ZIP 33884
Phone 863 324-8406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAVED A. SYED

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