10D2086100 CLIA NUMBER - WEST BOYNTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2086100
  • Facility Name: WEST BOYNTON DIALYSIS
  • Facility Address: 10150 HAGEN RANCH RD STE 101
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 736-6096
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WAYNE R. KOTZKER
  • NPI Number: 1255732202
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2086100
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST BOYNTON DIALYSIS
Street 10150 HAGEN RANCH RD STE 101
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 736-6096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WAYNE R. KOTZKER

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