10D2277943 CLIA NUMBER - ARC DIALYSIS HIALEAH, LLC

Laboratory Demographics

  • CLIA Code: 10D2277943
  • Facility Name: ARC DIALYSIS HIALEAH, LLC
  • Facility Address: 3704 WEST 12 AVENUE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 786 457-9480
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VICTOR LOPEZ DE MENDOZA
  • NPI Number: 1376180661
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2277943
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ARC DIALYSIS HIALEAH, LLC
Street 3704 WEST 12 AVENUE
City HIALEAH
State FL
ZIP 33012
Phone 786 457-9480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VICTOR LOPEZ DE MENDOZA

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