10D0958580 CLIA NUMBER - CONTINENTAL DIALYSIS CARE CENTER LLC

Laboratory Demographics

CLIA Number: 10D0958580

Facility Name: CONTINENTAL DIALYSIS CARE CENTER LLC

Facility Address:
2000 CONTINENTAL DR STE A
WEST PALM BEACH, FL
ZIP 33407
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Facility Phone Number: 561 840-4141

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1104268325

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0958580
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CONTINENTAL DIALYSIS CARE CENTER LLC
Street	2000 CONTINENTAL DR STE A
City	WEST PALM BEACH
State	FL
ZIP	33407
Phone	561 840-4141
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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