10D1000423 CLIA NUMBER - FRESENIUS KIDNEY CARE CORDOVA

Laboratory Demographics

CLIA Number: 10D1000423

Facility Name: FRESENIUS KIDNEY CARE CORDOVA

Facility Address:
5401 CORPORATE WOODS DR STE 850
PENSACOLA, FL
ZIP 32504
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Facility Phone Number: (850) 484-8646

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1356453195

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1000423
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FRESENIUS KIDNEY CARE CORDOVA
Street	5401 CORPORATE WOODS DR STE 850
City	PENSACOLA
State	FL
ZIP	32504
Phone	(850) 484-8646

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This page was last updated on: 5/11/2023