10D2097942 CLIA NUMBER - US RENAL CARE NORTH TAMPA DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2097942
  • Facility Name: US RENAL CARE NORTH TAMPA DIALYSIS
  • Facility Address: 3421 N LAKEVIEW DR
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 261-1864
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUMMIT GUPTA
  • NPI Number: 1033599766
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2097942
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE NORTH TAMPA DIALYSIS
Street 3421 N LAKEVIEW DR
City TAMPA
State FL
ZIP 33618
Phone 813 261-1864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUMMIT GUPTA

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