10D2154632 CLIA NUMBER - COUNTY LINE DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2154632
  • Facility Name: COUNTY LINE DIALYSIS
  • Facility Address: 21353 NW 2ND AVE
    MIAMI GARDENS, FL
    ZIP 33169
  • Facility Phone: 305 654-2724
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES N. REICH
  • NPI Number: 1821245861
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2154632
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COUNTY LINE DIALYSIS
Street 21353 NW 2ND AVE
City MIAMI GARDENS
State FL
ZIP 33169
Phone 305 654-2724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES N. REICH

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