05D2065996 CLIA NUMBER - FRESENIUS MEDICAL CARE BAKERSFIELD NORTH EAST

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Laboratory Demographics

CLIA Number: 05D2065996

Facility Name: FRESENIUS MEDICAL CARE BAKERSFIELD NORTH EAST

Facility Address:
3201 MALL VIEW RD
BAKERSFIELD, CA
ZIP 93306
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Facility Phone Number: 661 873-7918

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1689914939

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2065996
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE BAKERSFIELD NORTH EAST
Street	3201 MALL VIEW RD
City	BAKERSFIELD
State	CA
ZIP	93306
Phone	661 873-7918
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

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