05D0960656 CLIA NUMBER - FMC DIALYSIS SERVICES CHANNEL ISLANDS

Laboratory Demographics

CLIA Number: 05D0960656

Facility Name: FMC DIALYSIS SERVICES CHANNEL ISLANDS

Facility Address:
2679 SAVIERS RD SUITE B
OXNARD, CA
ZIP 93033
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Facility Phone Number: (805) 486-2929

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1184736985

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0960656
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FMC DIALYSIS SERVICES CHANNEL ISLANDS
Street	2679 SAVIERS RD SUITE B
City	OXNARD
State	CA
ZIP	93033
Phone	(805) 486-2929

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