05D1087170 CLIA NUMBER - FRESENIUS KIDNEY CARE JUNIPER FONTANA

Laboratory Demographics

CLIA Number: 05D1087170

Facility Name: FRESENIUS KIDNEY CARE JUNIPER FONTANA

Facility Address:
10557 JUNIPER AVE BUILDING A STE B
FONTANA, CA
ZIP 92337
Get Directions

Facility Phone Number: 909 697-5039

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1447429568

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1087170
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE JUNIPER FONTANA
Street	10557 JUNIPER AVE BUILDING A STE B
City	FONTANA
State	CA
ZIP	92337
Phone	909 697-5039
CertificateType	4
CertificateEffectiveDate	7/28/2022
CertificateExpirationDate	7/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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