15D2000340 CLIA NUMBER - FRESENIUS MEDICAL CARE/SCOTT COUNTY

Laboratory Demographics

  • CLIA Code: 15D2000340
  • Facility Name: FRESENIUS MEDICAL CARE/SCOTT COUNTY
  • Facility Address: 130 WESTAVIA BLVD
    SCOTTSBURG, IN
    ZIP 47170
  • Facility Phone: 812 754-0630
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD S. CORNELL
  • NPI Number: 1407084783
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2000340
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE/SCOTT COUNTY
Street 130 WESTAVIA BLVD
City SCOTTSBURG
State IN
ZIP 47170
Phone 812 754-0630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RICHARD S. CORNELL

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This page was last updated on: 6/4/2025