10D1047616 CLIA NUMBER - FRESENIUS MEDICAL CARE BELLEAIR HOME THERAPIES

Laboratory Demographics

CLIA Number: 10D1047616

Facility Name: FRESENIUS MEDICAL CARE BELLEAIR HOME THERAPIES

Facility Address:
617 LAKEVIEW RD SUITE C
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 441-2913

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1174849319

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1047616
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE BELLEAIR HOME THERAPIES
Street	617 LAKEVIEW RD SUITE C
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 441-2913
CertificateType	4
CertificateEffectiveDate	11/9/2023
CertificateExpirationDate	11/8/2025
FacilityType	Waiver

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