11D1078644 CLIA NUMBER - BIO MEDICAL APPLICATIONS OF GEORIGA INCORPORATE DBA FRESENIUS MEDICAL CARE THOMSON

Laboratory Demographics

CLIA Number: 11D1078644

Facility Name: BIO MEDICAL APPLICATIONS OF GEORIGA INCORPORATE DBA FRESENIUS MEDICAL CARE THOMSON

Facility Address:
1020 WEST HILL STREET
THOMSON, GA
ZIP 30824
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Facility Phone Number: 706 595-9280

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1043322878

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1078644
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO MEDICAL APPLICATIONS OF GEORIGA INCORPORATE DBA FRESENIUS MEDICAL CARE THOMSON
Street	1020 WEST HILL STREET
City	THOMSON
State	GA
ZIP	30824
Phone	706 595-9280
CertificateType	4
CertificateEffectiveDate	1/14/2024
CertificateExpirationDate	1/13/2026
FacilityType	Waiver

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