10D2126433 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF FLORIDA INC DBA FRESENIUS MEDICAL CARE TROUT RIVER DIALYSIS

Laboratory Demographics

CLIA Number: 10D2126433

Facility Name: BIO-MEDICAL APPLICATIONS OF FLORIDA INC DBA FRESENIUS MEDICAL CARE TROUT RIVER DIALYSIS

Facility Address:
3107 EDGEWOOD AVENUE WEST
JACKSONVILLE, FL
ZIP 32209
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Facility Phone Number: 904 765-5033

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1457725806

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2126433
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF FLORIDA INC DBA FRESENIUS MEDICAL CARE TROUT RIVER DIALYSIS
Street	3107 EDGEWOOD AVENUE WEST
City	JACKSONVILLE
State	FL
ZIP	32209
Phone	904 765-5033
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024