10D0928593 CLIA NUMBER - BMA OF CUTLER RIDGE

Laboratory Demographics

CLIA Number: 10D0928593

Facility Name: BMA OF CUTLER RIDGE

Facility Address:
18942 SOUTH DIXIE HIGHWAY
CUTLER BAY, FL
ZIP 33157
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Facility Phone Number: 305 252-7575

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1790897551

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0928593
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BMA OF CUTLER RIDGE
Street	18942 SOUTH DIXIE HIGHWAY
City	CUTLER BAY
State	FL
ZIP	33157
Phone	305 252-7575
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024