10D2067420 CLIA NUMBER - GOLDEN GLADES DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2067420
  • Facility Name: GOLDEN GLADES DIALYSIS
  • Facility Address: 15600 NW 15TH AVE STE D
    MIAMI, FL
    ZIP 33169
  • Facility Phone: (305) 621-3732
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDER A. VELAR
  • NPI Number: 1699102715
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2067420
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GOLDEN GLADES DIALYSIS
Street 15600 NW 15TH AVE STE D
City MIAMI
State FL
ZIP 33169
Phone 3056213732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALEXANDER A. VELAR

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This page was last updated on: 5/18/2026