10D2188475 CLIA NUMBER - PARTNERS IN KIDNEY CARE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 10D2188475
  • Facility Name: PARTNERS IN KIDNEY CARE CLINIC LLC
  • Facility Address: 50 E SAMPLE RD #301A
    POMPANO BEACH, FL
    ZIP 33064
  • Facility Phone: 954 781-7741
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LETICIA ADAN
  • NPI Number: 1730733734
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2188475
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PARTNERS IN KIDNEY CARE CLINIC LLC
Street 50 E SAMPLE RD #301A
City POMPANO BEACH
State FL
ZIP 33064
Phone 954 781-7741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LETICIA ADAN

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This page was last updated on: 6/4/2025