10D2162051 CLIA NUMBER - DIAMOND SPEEDWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2162051
  • Facility Name: DIAMOND SPEEDWAY DIALYSIS
  • Facility Address: 1115 N NOVA RD
    DAYTONA BEACH, FL
    ZIP 32117
  • Facility Phone: 386 239-6877
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABDUL Q. JUMANI
  • NPI Number: 1225691447
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2162051
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIAMOND SPEEDWAY DIALYSIS
Street 1115 N NOVA RD
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 239-6877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABDUL Q. JUMANI

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