10D2303464 CLIA NUMBER - ADVANCE RENAL CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2303464
  • Facility Name: ADVANCE RENAL CARE LLC
  • Facility Address: 1493 NW 54 ST
    MIAMI, FL
    ZIP 33142
  • Facility Phone: 786 314-2938
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAUL N. GONZALEZ
  • NPI Number: 1669245080
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2303464
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ADVANCE RENAL CARE LLC
Street 1493 NW 54 ST
City MIAMI
State FL
ZIP 33142
Phone 786 314-2938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAUL N. GONZALEZ

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