10D2055366 CLIA NUMBER - GREENACRES DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2055366
  • Facility Name: GREENACRES DIALYSIS CENTER LLC
  • Facility Address: 5702 LAKE WORTH RD STE 1-3
    GREENACRES, FL
    ZIP 33463
  • Facility Phone: 561 357-9547
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUNILA G. PANDIT
  • NPI Number: 1376885228
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2055366
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREENACRES DIALYSIS CENTER LLC
Street 5702 LAKE WORTH RD STE 1-3
City GREENACRES
State FL
ZIP 33463
Phone 561 357-9547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUNILA G. PANDIT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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