14D2107110 CLIA NUMBER - FRESENIUS MEDICAL CARE ABERDEEN JV

Laboratory Demographics

CLIA Number: 14D2107110

Facility Name: FRESENIUS MEDICAL CARE ABERDEEN JV

Facility Address:
215 S ABERDEEN ST
CHICAGO, IL
ZIP 60607
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Facility Phone Number: 312 733-7335

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1245606367

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2107110
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE ABERDEEN JV
Street	215 S ABERDEEN ST
City	CHICAGO
State	IL
ZIP	60607
Phone	312 733-7335
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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