10D0918691 CLIA NUMBER - FRESENIUS MEDICAL CARE BOCA DELRAY, LLC DBA FRESENIUS KIDNEY CARE BOCA DELRAY DIALYSIS

Laboratory Demographics

CLIA Number: 10D0918691

Facility Name: FRESENIUS MEDICAL CARE BOCA DELRAY, LLC DBA FRESENIUS KIDNEY CARE BOCA DELRAY DIALYSIS

Facility Address:
1905 CLINT MOORE RD STE 306
BOCA RATON, FL
ZIP 33496
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Facility Phone Number: 561 988-7100

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1205500469

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0918691
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE BOCA DELRAY, LLC DBA FRESENIUS KIDNEY CARE BOCA DELRAY DIALYSIS
Street	1905 CLINT MOORE RD STE 306
City	BOCA RATON
State	FL
ZIP	33496
Phone	561 988-7100
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

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