10D2232230 CLIA NUMBER - FRESENIUS KIDNEY CARE PORT ORANGE

Laboratory Demographics

CLIA Number: 10D2232230

Facility Name: FRESENIUS KIDNEY CARE PORT ORANGE

Facility Address:
3881 S NOVA RD
PORT ORANGE, FL
ZIP 32127
Get Directions

Facility Phone Number: 386 291-3830

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1386215929

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2232230
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE PORT ORANGE
Street	3881 S NOVA RD
City	PORT ORANGE
State	FL
ZIP	32127
Phone	386 291-3830
CertificateType	4
CertificateEffectiveDate	8/11/2023
CertificateExpirationDate	8/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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