03D2106606 CLIA NUMBER - FRESENIUS MEDICAL CARE NORTH MOUNTAIN

Laboratory Demographics

CLIA Number: 03D2106606

Facility Name: FRESENIUS MEDICAL CARE NORTH MOUNTAIN

Facility Address:
16605 N 28TH AVE STE 100
PHOENIX, AZ
ZIP 85053
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Facility Phone Number: (602) 863-7954

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1528442779

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2106606
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FRESENIUS MEDICAL CARE NORTH MOUNTAIN
Street	16605 N 28TH AVE STE 100
City	PHOENIX
State	AZ
ZIP	85053
Phone	(602) 863-7954

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This page was last updated on: 5/11/2023