10D2117097 CLIA NUMBER - BAYSHORE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2117097
  • Facility Name: BAYSHORE DIALYSIS
  • Facility Address: 16151 SLATER RD
    N FT MYERS, FL
    ZIP 33917
  • Facility Phone: 615 320-4214
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BASUDEV PUDASAINI
  • NPI Number: 1528418811
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2117097
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAYSHORE DIALYSIS
Street 16151 SLATER RD
City N FT MYERS
State FL
ZIP 33917
Phone 615 320-4214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BASUDEV PUDASAINI

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