15D0939772 CLIA NUMBER - FRESENIUS MEDICAL CARE NOBLESVILLE

Laboratory Demographics

CLIA Number: 15D0939772

Facility Name: FRESENIUS MEDICAL CARE NOBLESVILLE

Facility Address:
165 SHERIDAN RD
NOBLESVILLE, IN
ZIP 46060
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Facility Phone Number: 317 770-8900

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1114386216

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0939772
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE NOBLESVILLE
Street	165 SHERIDAN RD
City	NOBLESVILLE
State	IN
ZIP	46060
Phone	317 770-8900
CertificateType	4
CertificateEffectiveDate	1/30/2024
CertificateExpirationDate	1/29/2026
FacilityType	Waiver

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