10D2159068 CLIA NUMBER - SANDY SHORE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2159068
  • Facility Name: SANDY SHORE DIALYSIS
  • Facility Address: 5947 20TH STREET
    VERO BEACH, FL
    ZIP 32966
  • Facility Phone: 772 770-0331
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD J. HANDLER
  • NPI Number: 1235607144
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2159068
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SANDY SHORE DIALYSIS
Street 5947 20TH STREET
City VERO BEACH
State FL
ZIP 32966
Phone 772 770-0331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD J. HANDLER

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