10D2143604 CLIA NUMBER - EMERALD COAST DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2143604
  • Facility Name: EMERALD COAST DIALYSIS
  • Facility Address: 1112 HOSPITAL ROAD
    FORT WALTON BEACH, FL
    ZIP 32547
  • Facility Phone: 850 864-4850
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES B. ARBOGAST
  • NPI Number: 1528584745
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2143604
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMERALD COAST DIALYSIS
Street 1112 HOSPITAL ROAD
City FORT WALTON BEACH
State FL
ZIP 32547
Phone 850 864-4850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARLES B. ARBOGAST

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