10D2211376 CLIA NUMBER - 71020 VENTURES, LLC DBA US RENAL CARE CAPE CORAL NORTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2211376
  • Facility Name: 71020 VENTURES, LLC DBA US RENAL CARE CAPE CORAL NORTH DIALYSIS
  • Facility Address: 3571 DEL PRADO BOULEVARD NORTH UNIT 11
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 689-7757
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GAUTHAM MOGILISHETTY
  • NPI Number: 1598346777
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2211376
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name 71020 VENTURES, LLC DBA US RENAL CARE CAPE CORAL NORTH DIALYSIS
Street 3571 DEL PRADO BOULEVARD NORTH UNIT 11
City CAPE CORAL
State FL
ZIP 33904
Phone 239 689-7757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GAUTHAM MOGILISHETTY

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