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SDA DIALYSIS CENTER LLC
NPI 1841885233
Internal Medicine - Nephrology in Hollywood, FL

Active since March 08, 2021CLIA 10D2240363 · Waiver
3911 HOLLYWOOD BLVD STE 104, HOLLYWOOD, FL 33021(954) 880-5553(954) 208-4533 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sda Dialysis Center Llc NPPES

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

SDA DIALYSIS CENTER LLC (NPI 1841885233) is a healthcare organization registered as a nephrology in Hollywood, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Samer Diab Agha, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841885233
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSDA DIALYSIS CENTER LLC
Location Address3911 HOLLYWOOD BLVD STE 104Hollywood, FL 33021-6795
Mailing AddressPo Box 7496Fort Lauderdale, FL 33338-7496 · (917) 803-9091 · Fax (954) 208-4533
Phone(954) 880-5553
Fax(954) 208-4533
Organization SubpartNo
Authorized OfficialSamer Diab AghaCeo · (917) 803-9091
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1841885233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3911 HOLLYWOOD BLVD STE 104, Hollywood, FL 33021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 10D2240363

Sda Dialysis Center, LLC · Hollywood, FL
Active · expires Oct 18, 2027
CLIA Number10D2240363
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorSamer A. Diab
Laboratory Phone(954) 364-7700
Laboratory LocationSda Dialysis Center, LLC3911 Hollywood Blvd #104, Hollywood, FL 33021
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEST CARE DIALYSIS HEALTH AND REHABILITATION LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3911 HOLLYWOOD BLVD STE 104
HOLLYWOOD, FL 33021
Broward County (786) 457-9480

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 Sda Dialysis Center LLC's NPI number?

The NPI number for Sda Dialysis Center LLC is 1841885233. It was assigned to this organization in the NPPES registry on March 8, 2021.

Where is Sda Dialysis Center LLC located?

Sda Dialysis Center LLC is located at 3911 Hollywood Blvd Ste 104, Hollywood, FL 33021. The listed phone number is (954) 880-5553.

What is Sda Dialysis Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Sda Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2240363) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sda Dialysis Center LLC was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.