10D2206352 CLIA NUMBER - TAMPA BREEZE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2206352
  • Facility Name: TAMPA BREEZE DIALYSIS
  • Facility Address: 6914 SHELDON DR - STE 102
    TAMPA, FL
    ZIP 33615
  • Facility Phone: 863 663-3071
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARGARET ROSE
  • NPI Number: 1457957870
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2206352
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TAMPA BREEZE DIALYSIS
Street 6914 SHELDON DR - STE 102
City TAMPA
State FL
ZIP 33615
Phone 863 663-3071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARGARET ROSE

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