10D0901828 CLIA NUMBER - SOUTH FLORIDA DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D0901828
  • Facility Name: SOUTH FLORIDA DIALYSIS
  • Facility Address: 1 OAKWOOD BLVD STE 100
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 894-7500
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES P. VANGELDER
  • NPI Number: 1942567839
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0901828
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH FLORIDA DIALYSIS
Street 1 OAKWOOD BLVD STE 100
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 894-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES P. VANGELDER

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