10D1025082 CLIA NUMBER - DAVIE CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D1025082
  • Facility Name: DAVIE CITY DIALYSIS
  • Facility Address: 7950 SW 30TH ST
    DAVIE, FL
    ZIP 33328
  • Facility Phone: 954 577-2778
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MARKOVICH
  • NPI Number: 1457618787
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1025082
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DAVIE CITY DIALYSIS
Street 7950 SW 30TH ST
City DAVIE
State FL
ZIP 33328
Phone 954 577-2778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALEXANDER MARKOVICH

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