10D1036096 CLIA NUMBER - EMBASSY LAKES ARTIFICIAL KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D1036096
  • Facility Name: EMBASSY LAKES ARTIFICIAL KIDNEY CENTER
  • Facility Address: 11011 SHERIDAN STREET STE 308
    HOLLYWOOD, FL
    ZIP 33026
  • Facility Phone: 954 430-9166
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED HASHMI
  • NPI Number: 1205892122
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1036096
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMBASSY LAKES ARTIFICIAL KIDNEY CENTER
Street 11011 SHERIDAN STREET STE 308
City HOLLYWOOD
State FL
ZIP 33026
Phone 954 430-9166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYED HASHMI

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