10D0922581 CLIA NUMBER - PLANTATION DIALYSIS CENTER, LLC DBA FRESENIUS MEDICAL CARE PLANTATION

Laboratory Demographics

  • CLIA Code: 10D0922581
  • Facility Name: PLANTATION DIALYSIS CENTER, LLC DBA FRESENIUS MEDICAL CARE PLANTATION
  • Facility Address: 849 N NOB HILL RD
    PLANTATION, FL
    ZIP 33324
  • Facility Phone: 954 382-0151
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH J. TOURGEMAN
  • NPI Number: 1922378587
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0922581
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PLANTATION DIALYSIS CENTER, LLC DBA FRESENIUS MEDICAL CARE PLANTATION
Street 849 N NOB HILL RD
City PLANTATION
State FL
ZIP 33324
Phone 954 382-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KENNETH J. TOURGEMAN

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