10D2082305 CLIA NUMBER - CLAY COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2082305
  • Facility Name: CLAY COUNTY DIALYSIS
  • Facility Address: 1784 BLANDING BLVD
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 904 291-1537
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAMA THAMBUGANIPALLE
  • NPI Number: 1174939896
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2082305
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLAY COUNTY DIALYSIS
Street 1784 BLANDING BLVD
City MIDDLEBURG
State FL
ZIP 32068
Phone 904 291-1537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAMA THAMBUGANIPALLE

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