07D0896347 CLIA NUMBER - FRESENIUS MEDICAL CARE EAST HARTFORD

Laboratory Demographics

CLIA Number: 07D0896347

Facility Name: FRESENIUS MEDICAL CARE EAST HARTFORD

Facility Address:
200 PITKIN STREET
EAST HARTFORD, CT
ZIP 06108
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Facility Phone Number: 860 282-6266

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407889876

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D0896347
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE EAST HARTFORD
Street	200 PITKIN STREET
City	EAST HARTFORD
State	CT
ZIP	06108
Phone	860 282-6266
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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