10D2189494 CLIA NUMBER - INDI VASUDEVA SERVICES, INC DBA KIDNEY CARE CENTER FLORIDA

Laboratory Demographics

  • CLIA Code: 10D2189494
  • Facility Name: INDI VASUDEVA SERVICES, INC DBA KIDNEY CARE CENTER FLORIDA
  • Facility Address: 1502 W FLETCHER AVE - UNIT 107
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 961-6633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MORUFU ALAUSA
  • NPI Number: 1629074596
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2189494
LAB Type Physician Office
Facility Name INDI VASUDEVA SERVICES, INC DBA KIDNEY CARE CENTER FLORIDA
Street 1502 W FLETCHER AVE - UNIT 107
City TAMPA
State FL
ZIP 33612
Phone 813 961-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director MORUFU ALAUSA

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