10D1026181 CLIA NUMBER - WESTON DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 10D1026181

Facility Name: WESTON DIALYSIS CENTER

Facility Address:
2685 EXECUTIVE PARK DR
WESTON, FL
ZIP 33331
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Facility Phone Number: 800 477-1916

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1699743930

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1026181
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WESTON DIALYSIS CENTER
Street	2685 EXECUTIVE PARK DR
City	WESTON
State	FL
ZIP	33331
Phone	800 477-1916
CertificateType	4
CertificateEffectiveDate	5/27/2022
CertificateExpirationDate	5/26/2024
FacilityType	Waiver

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