10D0896306 CLIA NUMBER - SOUTH FLORIDA NEPHROLOGY GROUP PA

Laboratory Demographics

CLIA Number: 10D0896306

Facility Name: SOUTH FLORIDA NEPHROLOGY GROUP PA

Facility Address:
722 RIVERSIDE DR
CORAL SPRINGS, FL
ZIP 33071
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Facility Phone Number: 954 345-4333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326136144

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D0896306
LAB Type	Physician Office
Facility Name	SOUTH FLORIDA NEPHROLOGY GROUP PA
Street	722 RIVERSIDE DR
City	CORAL SPRINGS
State	FL
ZIP	33071
Phone	954 345-4333
CertificateType	4
CertificateEffectiveDate	5/1/2022
CertificateExpirationDate	4/30/2024
FacilityType	Waiver

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