10D2143308 CLIA NUMBER - DIALYSIS CLINIC, INC

Laboratory Demographics

CLIA Number: 10D2143308

Facility Name: DIALYSIS CLINIC, INC

Facility Address:
3750 NW 83RD STREET
GAINESVILLE, FL
ZIP 32606
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Facility Phone Number: 352 377-6790

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1972630499

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2143308
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CLINIC, INC
Street	3750 NW 83RD STREET
City	GAINESVILLE
State	FL
ZIP	32606
Phone	352 377-6790
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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