10D2257913 CLIA NUMBER - DIALYSUITES BARTRAM PARK, LLC

Laboratory Demographics

  • CLIA Code: 10D2257913
  • Facility Name: DIALYSUITES BARTRAM PARK, LLC
  • Facility Address: 13241 BARTRAM PARK BLVD SUITE 305
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 556-2951
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MUNJAL SANDEEP
  • NPI Number: 1629722707
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2257913
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSUITES BARTRAM PARK, LLC
Street 13241 BARTRAM PARK BLVD SUITE 305
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 556-2951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MUNJAL SANDEEP

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