10D2070845 CLIA NUMBER - HOLLYWOOD DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 10D2070845
  • Facility Name: HOLLYWOOD DIALYSIS LLC
  • Facility Address: 4000 HOLLYWOOD BLVD STE 175S
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 962-3100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NEIL J. WEINER
  • NPI Number: 1558792960
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2070845
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOLLYWOOD DIALYSIS LLC
Street 4000 HOLLYWOOD BLVD STE 175S
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 962-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NEIL J. WEINER

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