10D2121790 CLIA NUMBER - RENVIVA DIALYSIS CENTER OF CLEARWATER LLC

Laboratory Demographics

  • CLIA Code: 10D2121790
  • Facility Name: RENVIVA DIALYSIS CENTER OF CLEARWATER LLC
  • Facility Address: 401 CORBETT ST STE 250
    BELLEAIR, FL
    ZIP 33756
  • Facility Phone: 727 281-4490
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SIKANDER HAYAT
  • NPI Number: 1194178889
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2121790
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENVIVA DIALYSIS CENTER OF CLEARWATER LLC
Street 401 CORBETT ST STE 250
City BELLEAIR
State FL
ZIP 33756
Phone 727 281-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SIKANDER HAYAT

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