11D1078770 CLIA NUMBER - FRESENIUS KIDNEY CARE CEDARTOWN

Laboratory Demographics

CLIA Number: 11D1078770

Facility Name: FRESENIUS KIDNEY CARE CEDARTOWN

Facility Address:
14 CHEROKEE ROAD
CEDARTOWN, GA
ZIP 30125
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Facility Phone Number: 770 748-2567

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1972015790

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1078770
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE CEDARTOWN
Street	14 CHEROKEE ROAD
City	CEDARTOWN
State	GA
ZIP	30125
Phone	770 748-2567
CertificateType	4
CertificateEffectiveDate	1/16/2024
CertificateExpirationDate	1/15/2026
FacilityType	Waiver

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