10D2287435 CLIA NUMBER - ELITE DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 10D2287435
  • Facility Name: ELITE DIALYSIS LLC
  • Facility Address: 8201 NORTH UNIVERSITY DRIVE
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: 954 836-8900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMAD E. KASSEM
  • NPI Number: 1063111524
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2287435
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELITE DIALYSIS LLC
Street 8201 NORTH UNIVERSITY DRIVE
City TAMARAC
State FL
ZIP 33321
Phone 954 836-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMAD E. KASSEM

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