10D2072722 CLIA NUMBER - KEYS GATE DIALYSIS

Laboratory Demographics

CLIA Number: 10D2072722

Facility Name: KEYS GATE DIALYSIS

Facility Address:
1982 NE 8TH ST
HOMESTEAD, FL
ZIP 33033
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Facility Phone Number: 305 245-5953

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033751037

Taxonomy: 103TC0700X - Psychologist
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

CLIA Record

Field Name Field Value
CLIA Number 10D2072722
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KEYS GATE DIALYSIS
Street 1982 NE 8TH ST
City HOMESTEAD
State FL
ZIP 33033
Phone 305 245-5953
CertificateType 4
CertificateEffectiveDate 2/4/2024
CertificateExpirationDate 2/3/2026
FacilityType Waiver

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