10D2073839 CLIA NUMBER - PROFESSIONAL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D2073839
  • Facility Name: PROFESSIONAL DIALYSIS CENTER
  • Facility Address: 10021 PINES BLVD STE 201
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 417-1070
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SORANELA CUNHA
  • NPI Number: 1700148632
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2073839
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PROFESSIONAL DIALYSIS CENTER
Street 10021 PINES BLVD STE 201
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 417-1070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SORANELA CUNHA

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This page was last updated on: 6/4/2025