10D2073123 CLIA NUMBER - BIO MEDICAL APPLICATIONS OF FLORIDA INC DBA FRESENUIS MEDICAL CARE WEST JACKSONVILLE

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Laboratory Demographics

CLIA Number: 10D2073123

Facility Name: BIO MEDICAL APPLICATIONS OF FLORIDA INC DBA FRESENUIS MEDICAL CARE WEST JACKSONVILLE

Facility Address:
5607 NORMANDY BLVD
JACKSONVILLE, FL
ZIP 32205
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Facility Phone Number: 904 786-1385

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1497186084

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2073123
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO MEDICAL APPLICATIONS OF FLORIDA INC DBA FRESENUIS MEDICAL CARE WEST JACKSONVILLE
Street	5607 NORMANDY BLVD
City	JACKSONVILLE
State	FL
ZIP	32205
Phone	904 786-1385
CertificateType	4
CertificateEffectiveDate	2/11/2024
CertificateExpirationDate	2/10/2026
FacilityType	Waiver

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