10D2160868 CLIA NUMBER - DEL RIO DIALYSIS

Laboratory Demographics

CLIA Number: 10D2160868

Facility Name: DEL RIO DIALYSIS

Facility Address:
6222 HARNEY RD
TAMPA, FL
ZIP 33610
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Facility Phone Number: 813 272-7090

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1932677838

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2160868
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DEL RIO DIALYSIS
Street	6222 HARNEY RD
City	TAMPA
State	FL
ZIP	33610
Phone	813 272-7090
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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