10D2092762 CLIA NUMBER - LYNN HAVEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2092762
  • Facility Name: LYNN HAVEN DIALYSIS
  • Facility Address: 404 E 24TH ST
    LYNN HAVEN, FL
    ZIP 32444
  • Facility Phone: 850 271-2937
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN COMPTON
  • NPI Number: 1174912596
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2092762
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LYNN HAVEN DIALYSIS
Street 404 E 24TH ST
City LYNN HAVEN
State FL
ZIP 32444
Phone 850 271-2937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUSAN COMPTON

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