15D1088009 CLIA NUMBER - FRESENIUS MEDICAL CARE WELLS CO

Laboratory Demographics

CLIA Number: 15D1088009

Facility Name: FRESENIUS MEDICAL CARE WELLS CO

Facility Address:
1100 S MAIN ST
BLUFFTON, IN
ZIP 46714
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Facility Phone Number: 260 436-5599

Facility Type: Blood Bank

Certificate Type: Waiver

NPI Number: 1104088509

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D1088009
LAB Type	Blood Bank
Facility Name	FRESENIUS MEDICAL CARE WELLS CO
Street	1100 S MAIN ST
City	BLUFFTON
State	IN
ZIP	46714
Phone	260 436-5599
CertificateType	4
CertificateEffectiveDate	8/14/2022
CertificateExpirationDate	8/13/2024
FacilityType	Waiver

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