10D2099329 CLIA NUMBER - RENAL CARE ASSOCIATES

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Laboratory Demographics

CLIA Number: 10D2099329

Facility Name: RENAL CARE ASSOCIATES

Facility Address:
3785 NW 82ND AVE STE 205
DORAL, FL
ZIP 33166
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Facility Phone Number: 305 994-9499

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1801204953

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2099329
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CARE ASSOCIATES
Street	3785 NW 82ND AVE STE 205
City	DORAL
State	FL
ZIP	33166
Phone	305 994-9499
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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