10D2042167 CLIA NUMBER - LIGHTHOUSE POINT DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2042167
  • Facility Name: LIGHTHOUSE POINT DIALYSIS
  • Facility Address: 200 SW NATURA AVE
    DEERFIELD BEACH, FL
    ZIP 33441
  • Facility Phone: 954 426-0152
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROBERTO P. COQUIS
  • NPI Number: 1861469314
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2042167
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIGHTHOUSE POINT DIALYSIS
Street 200 SW NATURA AVE
City DEERFIELD BEACH
State FL
ZIP 33441
Phone 954 426-0152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROBERTO P. COQUIS

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