10D0964890 CLIA NUMBER - FRESENIUS MEDICAL CARE HAINES CITY DIALYSIS

Laboratory Demographics

CLIA Number: 10D0964890

Facility Name: FRESENIUS MEDICAL CARE HAINES CITY DIALYSIS

Facility Address:
110 PATTERSON ROAD
HAINES CITY, FL
ZIP 33844
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Facility Phone Number: 863 422-0800

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1235148297

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0964890
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE HAINES CITY DIALYSIS
Street	110 PATTERSON ROAD
City	HAINES CITY
State	FL
ZIP	33844
Phone	863 422-0800
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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