10D2228273 CLIA NUMBER - DIALYSIS CARE CENTER BROOKSVILLE LLC

Laboratory Demographics

CLIA Number: 10D2228273

Facility Name: DIALYSIS CARE CENTER BROOKSVILLE LLC

Facility Address:
7179 BROAD ST
BROOKSVILLE, FL
ZIP 34601
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Facility Phone Number: (708) 645-1000

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1093381915

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2228273
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	DIALYSIS CARE CENTER BROOKSVILLE LLC
Street	7179 BROAD ST
City	BROOKSVILLE
State	FL
ZIP	34601
Phone	(708) 645-1000

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This page was last updated on: 5/11/2023