10D2014469 CLIA NUMBER - SOUTH DADE KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 10D2014469
  • Facility Name: SOUTH DADE KIDNEY CENTER
  • Facility Address: 11040 SW 184TH ST
    CUTLER BAY, FL
    ZIP 33157
  • Facility Phone: 305 259-1516
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HASSAN ALI
  • NPI Number: 1790099976
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2014469
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH DADE KIDNEY CENTER
Street 11040 SW 184TH ST
City CUTLER BAY
State FL
ZIP 33157
Phone 305 259-1516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HASSAN ALI

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