SYNERGY DIALYSIS OF PEMBROKE PINES, LLC
NPI 1760285969
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Reston, VA

Active since March 31, 2025CLIA Certified · 2 labs
1897 PRESTON WHITE DR STE 105B, RESTON, VA 20191(954) 706-9793(888) 349-8679 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Synergy Dialysis Of Pembroke Pines, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNERGY DIALYSIS OF PEMBROKE PINES, LLC (NPI 1760285969) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Reston, Virginia and active in the NPI registry since March 2025. The organization holds 2 active CLIA laboratory certificates and lists Marcia Anjos Santos, Coo, as its authorized official.

NPPES Registry Identity

NPI1760285969
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSYNERGY DIALYSIS OF PEMBROKE PINES, LLC
Location Address1897 PRESTON WHITE DR STE 105BReston, VA 20191-5475
Mailing Address50 E Sample Rd Ste 301Pompano Beach, FL 33064-3552 · (954) 709-9793 · Fax (888) 349-8679
Fax(888) 349-8679
Organization SubpartNo
Authorized OfficialMarcia Anjos SantosCoo · (954) 781-7741
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1760285969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1897 PRESTON WHITE DR STE 105B, Reston, VA 20191

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2059179

Synergy Dialysis Inc · Pompano Beach, FL
Active · expires May 19, 2027
CLIA Number10D2059179
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDr. Leticia Adan
Laboratory Phone(305) 807-8807
Laboratory LocationSynergy Dialysis Inc50 E Sample Rd Ste 301 A, Pompano Beach, FL 33064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2086588

Synergy Dialysis Of Pembroke Pines LLC · Pembroke Pines, FL
Active · expires Nov 5, 2026
CLIA Number10D2086588
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorMyrlene Barrera
Laboratory Phone(954) 709-9793
Laboratory LocationSynergy Dialysis Of Pembroke Pines LLC20170 Pines Blvd Ste 110, Pembroke Pines, FL 33029
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synergy Dialysis Of Pembroke Pines, LLC's NPI number?

The NPI number for Synergy Dialysis Of Pembroke Pines, LLC is 1760285969. It was assigned to this organization in the NPPES registry on March 31, 2025.

Where is Synergy Dialysis Of Pembroke Pines, LLC located?

Synergy Dialysis Of Pembroke Pines, LLC is located at 1897 Preston White Dr Ste 105B, Reston, VA 20191. The listed phone number is (954) 706-9793.

What is Synergy Dialysis Of Pembroke Pines, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Synergy Dialysis Of Pembroke Pines, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Synergy Dialysis Of Pembroke Pines, LLC was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.