10D0915656 CLIA NUMBER - FT LAUDERDALE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D0915656
  • Facility Name: FT LAUDERDALE DIALYSIS
  • Facility Address: 1299 E COMMERCIAL BLVD STE 100
    OAKLAND PARK, FL
    ZIP 33334
  • Facility Phone: 954 776-6056
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GABRIEL A. VALLE
  • NPI Number: 1083971071
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0915656
LAB Type Practitioner Other
Facility Name FT LAUDERDALE DIALYSIS
Street 1299 E COMMERCIAL BLVD STE 100
City OAKLAND PARK
State FL
ZIP 33334
Phone 954 776-6056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Practitioner Other
Lab Director GABRIEL A. VALLE

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