10D2270681 CLIA NUMBER - KIDNEYSPA AT BIRD ROAD, LLC

Laboratory Demographics

  • CLIA Code: 10D2270681
  • Facility Name: KIDNEYSPA AT BIRD ROAD, LLC
  • Facility Address: 11501 SW 40TH ST, STE 101
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 305 329-2900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JUAN MAURICIO CUELLAR
  • NPI Number: 1316127921
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2270681
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KIDNEYSPA AT BIRD ROAD, LLC
Street 11501 SW 40TH ST, STE 101
City MIAMI
State FL
ZIP 33165
Phone 305 329-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JUAN MAURICIO CUELLAR

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