10D2213600 CLIA NUMBER - USRC MUSTANG DIALYSIS, LLC

Laboratory Demographics

  • CLIA Code: 10D2213600
  • Facility Name: USRC MUSTANG DIALYSIS, LLC
  • Facility Address: 12250 TAMIAMI TRL E STE 103
    NAPLES, FL
    ZIP 34113
  • Facility Phone: 239 610-1241
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VERA M. STRICEVIC
  • NPI Number: 1285226902
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2213600
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC MUSTANG DIALYSIS, LLC
Street 12250 TAMIAMI TRL E STE 103
City NAPLES
State FL
ZIP 34113
Phone 239 610-1241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VERA M. STRICEVIC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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