07D2011381 CLIA NUMBER - FRESENIUS MEDICAL CARE OF WESTERN HARTFORD

Laboratory Demographics

  • CLIA Code: 07D2011381
  • Facility Name: FRESENIUS MEDICAL CARE OF WESTERN HARTFORD
  • Facility Address: 725 PARK AVENUE
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: 860 726-0099
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KORY TRAY
  • NPI Number: 1013228816
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2011381
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE OF WESTERN HARTFORD
Street 725 PARK AVENUE
City BLOOMFIELD
State CT
ZIP 06002
Phone 860 726-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KORY TRAY

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This page was last updated on: 6/4/2025