10D2098874 CLIA NUMBER - KENNEDY BOULEVARD DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2098874
  • Facility Name: KENNEDY BOULEVARD DIALYSIS
  • Facility Address: 2205 W KENNEDY BLVD
    TAMPA, FL
    ZIP 33606
  • Facility Phone: 813 254-3638
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJENDRA BALIGA
  • NPI Number: 1871971556
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2098874
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENNEDY BOULEVARD DIALYSIS
Street 2205 W KENNEDY BLVD
City TAMPA
State FL
ZIP 33606
Phone 813 254-3638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJENDRA BALIGA

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