14D2026092 CLIA NUMBER - FRESENIUS MEDICAL CARE BATAVIA LLC

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Laboratory Demographics

CLIA Number: 14D2026092

Facility Name: FRESENIUS MEDICAL CARE BATAVIA LLC

Facility Address:
2580 W FABYAN PARKWAY
BATAVIA, IL
ZIP 60510
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Facility Phone Number: 630 406-1690

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1992094718

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2026092
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE BATAVIA LLC
Street	2580 W FABYAN PARKWAY
City	BATAVIA
State	IL
ZIP	60510
Phone	630 406-1690
CertificateType	4
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	Waiver

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