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: 4/7/2021