10D2055366 CLIA NUMBER - GREENACRES DIALYSIS CENTER LLC

Home > CLIA Lookup > 10D2055366

Laboratory Demographics

CLIA Number: 10D2055366

Facility Name: GREENACRES DIALYSIS CENTER LLC

Facility Address:
5702 LAKE WORTH RD STE 1-3
GREENACRES, FL
ZIP 33463
Get Directions

Facility Phone Number: 561 357-9547

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1376885228

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	3/11/2023
CertificateExpirationDate	3/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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