07D2011381 CLIA NUMBER - FRESENIUS MEDICAL CARE OF WESTERN HARTFORD

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Laboratory Demographics

CLIA Number: 07D2011381

Facility Name: FRESENIUS MEDICAL CARE OF WESTERN HARTFORD

Facility Address:
725 PARK AVENUE
BLOOMFIELD, CT
ZIP 06002
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Facility Phone Number: 860 726-0099

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1013228816

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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