10D2103224 CLIA NUMBER - FRESENIUS MEDICAL CARE AUBURNDALE

Laboratory Demographics

  • CLIA Code: 10D2103224
  • Facility Name: FRESENIUS MEDICAL CARE AUBURNDALE
  • Facility Address: 365 HAVENDALE BLVD
    AUBURNDALE, FL
    ZIP 33823
  • Facility Phone: 863 551-3159
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHERIF ISSHAK IBRAHIM
  • NPI Number: 1386010130
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2103224
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE AUBURNDALE
Street 365 HAVENDALE BLVD
City AUBURNDALE
State FL
ZIP 33823
Phone 863 551-3159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHERIF ISSHAK IBRAHIM

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This page was last updated on: 6/4/2025