10D0918587 CLIA NUMBER - ATLANTIC KIDNEY CENTERS INC

Laboratory Demographics

  • CLIA Code: 10D0918587
  • Facility Name: ATLANTIC KIDNEY CENTERS INC
  • Facility Address: 4700 N CONGRESS AVE #106
    WEST PALM BEACH, FL
    ZIP 33407
  • Facility Phone: 561 845-2888
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JACK WATERMAN
  • NPI Number: 1871526202
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0918587
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ATLANTIC KIDNEY CENTERS INC
Street 4700 N CONGRESS AVE #106
City WEST PALM BEACH
State FL
ZIP 33407
Phone 561 845-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JACK WATERMAN

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