10D2184235 CLIA NUMBER - FRESENIUS KIDNEY CARE HILLSBOROUGH

Laboratory Demographics

CLIA Number: 10D2184235

Facility Name: FRESENIUS KIDNEY CARE HILLSBOROUGH

Facility Address:
4602 N ARMENIA AVE - BLDG B
TAMPA, FL
ZIP 33603
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Facility Phone Number: 813 462-7150

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1720622574

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2184235
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE HILLSBOROUGH
Street	4602 N ARMENIA AVE - BLDG B
City	TAMPA
State	FL
ZIP	33603
Phone	813 462-7150
CertificateType	4
CertificateEffectiveDate	5/18/2022
CertificateExpirationDate	5/17/2024
FacilityType	Waiver

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