05D2035085 CLIA NUMBER - FRESENIUS MEDICAL CARE LOMA LINDA

Home > CLIA Lookup > 05D2035085

Laboratory Demographics

CLIA Number: 05D2035085

Facility Name: FRESENIUS MEDICAL CARE LOMA LINDA

Facility Address:
269 E CAROLINE ST STE A
SAN BERNARDINO, CA
ZIP 92408
Get Directions

Facility Phone Number: 909 514-1008

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1891979332

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2035085
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE LOMA LINDA
Street	269 E CAROLINE ST STE A
City	SAN BERNARDINO
State	CA
ZIP	92408
Phone	909 514-1008
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
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