05D0907461 CLIA NUMBER - FRESENIUS MEDICAL CARE ORANGE COUNTY, LLC DBA RAI - HOSPITAL CIRCLE - WESTMINSTER

Laboratory Demographics

CLIA Number: 05D0907461

Facility Name: FRESENIUS MEDICAL CARE ORANGE COUNTY, LLC DBA RAI - HOSPITAL CIRCLE - WESTMINSTER

Facility Address:
290 HOSPITAL CIRCLE
WESTMINSTER, CA
ZIP 92683
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Facility Phone Number: 714 895-3698

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1154796522

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0907461
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE ORANGE COUNTY, LLC DBA RAI - HOSPITAL CIRCLE - WESTMINSTER
Street	290 HOSPITAL CIRCLE
City	WESTMINSTER
State	CA
ZIP	92683
Phone	714 895-3698
CertificateType	4
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024