10D1051397 CLIA NUMBER - HIALEAH ARTIFICIAL KIDNEY CENTER

Laboratory Demographics

CLIA Number: 10D1051397

Facility Name: HIALEAH ARTIFICIAL KIDNEY CENTER

Facility Address:
8524 NW 103RD ST
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 557-6545

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1669583084

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1051397
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HIALEAH ARTIFICIAL KIDNEY CENTER
Street	8524 NW 103RD ST
City	HIALEAH
State	FL
ZIP	33016
Phone	305 557-6545
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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