15D0358633 CLIA NUMBER - FRESENIUS MEDICAL CARE ANDERSON

Laboratory Demographics

CLIA Number: 15D0358633

Facility Name: FRESENIUS MEDICAL CARE ANDERSON

Facility Address:
1815 JACKSON ST
ANDERSON, IN
ZIP 46016
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Facility Phone Number: 765 649-4792

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1992810758

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0358633
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE ANDERSON
Street	1815 JACKSON ST
City	ANDERSON
State	IN
ZIP	46016
Phone	765 649-4792
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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