10D0979076 CLIA NUMBER - MIAMI EAST DIALYSIS

Laboratory Demographics

CLIA Number: 10D0979076

Facility Name: MIAMI EAST DIALYSIS

Facility Address:
1250 NW 7TH ST STE 106
MIAMI, FL
ZIP 33125
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Facility Phone Number: 305 324-8891

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1821065947

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0979076
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MIAMI EAST DIALYSIS
Street	1250 NW 7TH ST STE 106
City	MIAMI
State	FL
ZIP	33125
Phone	305 324-8891
CertificateType	4
CertificateEffectiveDate	10/12/2022
CertificateExpirationDate	10/11/2024
FacilityType	Waiver

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