06D2171636 CLIA NUMBER - FRESENIUS KIDNEY CARE - CASTLE ROCK DIALYSIS

Laboratory Demographics

CLIA Number: 06D2171636

Facility Name: FRESENIUS KIDNEY CARE - CASTLE ROCK DIALYSIS

Facility Address:
4352 TRAIL BOSS DRIVE
CASTLE ROCK, CO
ZIP 80104
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Facility Phone Number: 303 501-4254

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1497390546

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2171636
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE - CASTLE ROCK DIALYSIS
Street	4352 TRAIL BOSS DRIVE
City	CASTLE ROCK
State	CO
ZIP	80104
Phone	303 501-4254
CertificateType	4
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Waiver

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