10D2098868 CLIA NUMBER - USRC BOYNTON BEACH LLC DBA US RENAL CARE BOYNTON BEACH DIALYSIS

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Laboratory Demographics

CLIA Number: 10D2098868

Facility Name: USRC BOYNTON BEACH LLC DBA US RENAL CARE BOYNTON BEACH DIALYSIS

Facility Address:
1500 W GATEWAY BLVD STE 198
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 733-4631

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1104200757

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2098868
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	USRC BOYNTON BEACH LLC DBA US RENAL CARE BOYNTON BEACH DIALYSIS
Street	1500 W GATEWAY BLVD STE 198
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 733-4631
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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