14D2130257 CLIA NUMBER - FRESENIUS KIDNEY CARE EAST AURORA

Laboratory Demographics

CLIA Number: 14D2130257

Facility Name: FRESENIUS KIDNEY CARE EAST AURORA

Facility Address:
810 N FARNSWORTH AVE
AURORA, IL
ZIP 60505
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Facility Phone Number: 630 585-1228

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1013436781

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2130257
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE EAST AURORA
Street	810 N FARNSWORTH AVE
City	AURORA
State	IL
ZIP	60505
Phone	630 585-1228
CertificateType	4
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
FacilityType	Waiver

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