10D0713929 CLIA NUMBER - POMPANO BEACH ARTIFICIAL KIDNEY CENTER

Laboratory Demographics

CLIA Number: 10D0713929

Facility Name: POMPANO BEACH ARTIFICIAL KIDNEY CENTER

Facility Address:
600 SW 3RD ST STE 1100
POMPANO BEACH, FL
ZIP 33060
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Facility Phone Number: 954 946-7089

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1619159019

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D0713929
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	POMPANO BEACH ARTIFICIAL KIDNEY CENTER
Street	600 SW 3RD ST STE 1100
City	POMPANO BEACH
State	FL
ZIP	33060
Phone	954 946-7089
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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