10D2140784 CLIA NUMBER - BROOKSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2140784
  • Facility Name: BROOKSIDE DIALYSIS
  • Facility Address: 10725 WILES ROAD
    CORAL SPRINGS, FL
    ZIP 33076
  • Facility Phone: 954 796-9925
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ZACHARY YABLON
  • NPI Number: 1700398427
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2140784
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BROOKSIDE DIALYSIS
Street 10725 WILES ROAD
City CORAL SPRINGS
State FL
ZIP 33076
Phone 954 796-9925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ZACHARY YABLON

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