10D2077764 CLIA NUMBER - FRESENIUS MEDICAL CARE CORAL GABLES LLC DBA CORAL GABLES JV

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Laboratory Demographics

CLIA Number: 10D2077764

Facility Name: FRESENIUS MEDICAL CARE CORAL GABLES LLC DBA CORAL GABLES JV

Facility Address:
238 PALERMO AVENUE
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 443-0112

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1386060739

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2077764
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE CORAL GABLES LLC DBA CORAL GABLES JV
Street	238 PALERMO AVENUE
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 443-0112
CertificateType	4
CertificateEffectiveDate	5/14/2022
CertificateExpirationDate	5/13/2024
FacilityType	Waiver

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