14D1096095 CLIA NUMBER - FRESENIUS MEDICAL CARE PLAINFIELD

Laboratory Demographics

CLIA Number: 14D1096095

Facility Name: FRESENIUS MEDICAL CARE PLAINFIELD

Facility Address:
2320 MICHAS DRIVE
PLAINFIELD, IL
ZIP 60586
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Facility Phone Number: 815 230-2267

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1013158989

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1096095
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE PLAINFIELD
Street	2320 MICHAS DRIVE
City	PLAINFIELD
State	IL
ZIP	60586
Phone	815 230-2267
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

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