10D2133467 CLIA NUMBER - FRESENIUS MEDICAL CARE TAMPA LLC DBA FRESENIUS KIDNEY CARE TOWN AND COUNTRY

Laboratory Demographics

CLIA Number: 10D2133467

Facility Name: FRESENIUS MEDICAL CARE TAMPA LLC DBA FRESENIUS KIDNEY CARE TOWN AND COUNTRY

Facility Address:
5951 WEBB ROAD
TAMPA, FL
ZIP 33615
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Facility Phone Number: 813 243-6108

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1437673407

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2133467
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE TAMPA LLC DBA FRESENIUS KIDNEY CARE TOWN AND COUNTRY
Street	5951 WEBB ROAD
City	TAMPA
State	FL
ZIP	33615
Phone	813 243-6108
CertificateType	4
CertificateEffectiveDate	7/13/2023
CertificateExpirationDate	7/12/2025
FacilityType	Waiver

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