15D0647488 CLIA NUMBER - FRESENIUS MEDICAL CARE CANAL

Laboratory Demographics

  • CLIA Code: 15D0647488
  • Facility Name: FRESENIUS MEDICAL CARE CANAL
  • Facility Address: 1308 MINNICH RD
    NEW HAVEN, IN
    ZIP 46774
  • Facility Phone: 260 749-1004
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARK RUMANCIK
  • NPI Number: 1144335993
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0647488
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE CANAL
Street 1308 MINNICH RD
City NEW HAVEN
State IN
ZIP 46774
Phone 260 749-1004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MARK RUMANCIK

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This page was last updated on: 9/29/2025