10D2086490 CLIA NUMBER - OCALA WEST HOME TRAINING

Laboratory Demographics

  • CLIA Code: 10D2086490
  • Facility Name: OCALA WEST HOME TRAINING
  • Facility Address: 8615 SW 103RD ST RD
    OCALA, FL
    ZIP 34481
  • Facility Phone: 352 854-3099
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OLEKSANDR KOVALCHUK
  • NPI Number: 1851794424
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2086490
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OCALA WEST HOME TRAINING
Street 8615 SW 103RD ST RD
City OCALA
State FL
ZIP 34481
Phone 352 854-3099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OLEKSANDR KOVALCHUK

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