10D2278359 CLIA NUMBER - KIDNEYSPA HIALEAH LLC

Laboratory Demographics

  • CLIA Code: 10D2278359
  • Facility Name: KIDNEYSPA HIALEAH LLC
  • Facility Address: 4286 PALM AVE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: (305) 428-5698
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JUAN A. FERNANDEZ
  • NPI Number: 1801519137
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2278359
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KIDNEYSPA HIALEAH LLC
Street 4286 PALM AVE
City HIALEAH
State FL
ZIP 33012
Phone 3054285698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JUAN A. FERNANDEZ

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This page was last updated on: 5/18/2026