10D1027771 CLIA NUMBER - FRESENIUS MEDICAL CARE ATLANTIS

Laboratory Demographics

CLIA Number: 10D1027771

Facility Name: FRESENIUS MEDICAL CARE ATLANTIS

Facility Address:
5503 SOUTH CONGRESS AVE STE 101
ATLANTIS, FL
ZIP 33462
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Facility Phone Number: 561 967-0633

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1881796167

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1027771
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE ATLANTIS
Street	5503 SOUTH CONGRESS AVE STE 101
City	ATLANTIS
State	FL
ZIP	33462
Phone	561 967-0633
CertificateType	4
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Waiver

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