10D0982807 CLIA NUMBER - PINE ISLAND KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D0982807
  • Facility Name: PINE ISLAND KIDNEY CENTER
  • Facility Address: 1871 NORTH PINE ISLAND RD
    PLANTATION, FL
    ZIP 33322
  • Facility Phone: 954 916-8958
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK KAYLIN
  • NPI Number: 1780652016
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0982807
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PINE ISLAND KIDNEY CENTER
Street 1871 NORTH PINE ISLAND RD
City PLANTATION
State FL
ZIP 33322
Phone 954 916-8958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK KAYLIN

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