10D2042406 CLIA NUMBER - COASTAL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D2042406
  • Facility Name: COASTAL DIALYSIS CENTER
  • Facility Address: 641 UNIVERSITY BLVD STE 209
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 557-1704
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABBAS RABIEI
  • NPI Number: 1588920870
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2042406
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COASTAL DIALYSIS CENTER
Street 641 UNIVERSITY BLVD STE 209
City JUPITER
State FL
ZIP 33458
Phone 561 557-1704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABBAS RABIEI

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