10D2083264 CLIA NUMBER - DUNN AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2083264
  • Facility Name: DUNN AVENUE DIALYSIS
  • Facility Address: 1215 DUNN AVE STE 8
    JACKSONVILLE, FL
    ZIP 32218
  • Facility Phone: 904 757-3540
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. VAZ
  • NPI Number: 1023424694
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2083264
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DUNN AVENUE DIALYSIS
Street 1215 DUNN AVE STE 8
City JACKSONVILLE
State FL
ZIP 32218
Phone 904 757-3540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTHONY J. VAZ

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