10D1039216 CLIA NUMBER - MIAMI LAKES ARTIFICIAL KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D1039216
  • Facility Name: MIAMI LAKES ARTIFICIAL KIDNEY CENTER
  • Facility Address: 14600 NW 60TH AVE
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 786 639-0496
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REYNALDO MOLINA
  • NPI Number: 1659888352
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 10D1039216
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MIAMI LAKES ARTIFICIAL KIDNEY CENTER
Street 14600 NW 60TH AVE
City MIAMI LAKES
State FL
ZIP 33014
Phone 786 639-0496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REYNALDO MOLINA

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