14D1040551 CLIA NUMBER - FRESENIUS MEDICAL CARE KEWANEE

Laboratory Demographics

CLIA Number: 14D1040551

Facility Name: FRESENIUS MEDICAL CARE KEWANEE

Facility Address:
230 W SOUTH ST
KEWANEE, IL
ZIP 61443
Get Directions

Facility Phone Number: 309 854-0917

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1255446001

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1040551
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE KEWANEE
Street	230 W SOUTH ST
City	KEWANEE
State	IL
ZIP	61443
Phone	309 854-0917
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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