10D2125900 CLIA NUMBER - PERITONEAL DIALYSIS CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2125900
  • Facility Name: PERITONEAL DIALYSIS CENTER INC
  • Facility Address: 714 W 51ST STREET
    MIAMI BEACH, FL
    ZIP 33140
  • Facility Phone: 786 216-7023
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: INNA KALLAS
  • NPI Number: 1194170852
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2125900
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PERITONEAL DIALYSIS CENTER INC
Street 714 W 51ST STREET
City MIAMI BEACH
State FL
ZIP 33140
Phone 786 216-7023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director INNA KALLAS

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