11D2267227 CLIA NUMBER - FRESENIUS KIDNEY CARE CENTRAL LAWRENCEVILLE

Laboratory Demographics

CLIA Number: 11D2267227

Facility Name: FRESENIUS KIDNEY CARE CENTRAL LAWRENCEVILLE

Facility Address:
706 GRAYSON HIGHWAY SUITE 1
LAWRENCEVILLE, GA
ZIP 30046
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Facility Phone Number: 678 894-9995

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1679964894

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2267227
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE CENTRAL LAWRENCEVILLE
Street	706 GRAYSON HIGHWAY SUITE 1
City	LAWRENCEVILLE
State	GA
ZIP	30046
Phone	678 894-9995
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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