10D2240363 CLIA NUMBER - SDA DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2240363
  • Facility Name: SDA DIALYSIS CENTER, LLC
  • Facility Address: 3911 HOLLYWOOD BLVD #104
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 364-7700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAMER A. DIAB
  • NPI Number: 1841885233
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2240363
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SDA DIALYSIS CENTER, LLC
Street 3911 HOLLYWOOD BLVD #104
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 364-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAMER A. DIAB

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