11D1048890 CLIA NUMBER - FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD

Laboratory Demographics

CLIA Number: 11D1048890

Facility Name: FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD

Facility Address:
2841 DEANS BRIDGE ROAD
AUGUSTA, GA
ZIP 30906
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Facility Phone Number: 706 790-5909

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1073560611

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1048890
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD
Street	2841 DEANS BRIDGE ROAD
City	AUGUSTA
State	GA
ZIP	30906
Phone	706 790-5909
CertificateType	4
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	12/13/2025
FacilityType	Waiver

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