10D2166224 CLIA NUMBER - HARDEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2166224
  • Facility Name: HARDEN DIALYSIS
  • Facility Address: 2105 HARDEN BLVD
    LAKELAND, FL
    ZIP 33803
  • Facility Phone: 863 284-0534
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BERMILY MALDONADO-COLON
  • NPI Number: 1770141665
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2166224
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HARDEN DIALYSIS
Street 2105 HARDEN BLVD
City LAKELAND
State FL
ZIP 33803
Phone 863 284-0534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BERMILY MALDONADO-COLON

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