14D2120222 CLIA NUMBER - FRESENIUS MEDICAL CARE NEW CITY

Laboratory Demographics

CLIA Number: 14D2120222

Facility Name: FRESENIUS MEDICAL CARE NEW CITY

Facility Address:
4616 S BISHOP ST
CHICAGO, IL
ZIP 60609
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Facility Phone Number: 773 650-5900

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1700251451

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 14D2120222
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE NEW CITY
Street 4616 S BISHOP ST
City CHICAGO
State IL
ZIP 60609
Phone 773 650-5900
CertificateType 4
CertificateEffectiveDate 10/12/2022
CertificateExpirationDate 10/11/2024
FacilityType Waiver

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