10D0912887 CLIA NUMBER - FLAMINGO PARK KIDNEY CENTER

Laboratory Demographics

CLIA Number: 10D0912887

Facility Name: FLAMINGO PARK KIDNEY CENTER

Facility Address:
901 E 10TH AVE BAY #17
HIALEAH, FL
ZIP 33010
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Facility Phone Number: (305) 884-5677

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1215904776

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0912887
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FLAMINGO PARK KIDNEY CENTER
Street	901 E 10TH AVE BAY #17
City	HIALEAH
State	FL
ZIP	33010
Phone	(305) 884-5677

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This page was last updated on: 5/11/2023