05D2272438 CLIA NUMBER - FRESENIUS KIDNEY CARE REEDLEY HOME

Laboratory Demographics

CLIA Number: 05D2272438

Facility Name: FRESENIUS KIDNEY CARE REEDLEY HOME

Facility Address:
790 E MANNING AVE
REEDLEY, CA
ZIP 93654
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Facility Phone Number: 559 283-1768

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1316359367

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2272438
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE REEDLEY HOME
Street	790 E MANNING AVE
City	REEDLEY
State	CA
ZIP	93654
Phone	559 283-1768
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

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