16D1000620 CLIA NUMBER - FMC DIALYSIS SERVICES MIDWEST DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D1000620
  • Facility Name: FMC DIALYSIS SERVICES MIDWEST DIALYSIS
  • Facility Address: 4000 INDIAN HILLS DRIVE
    SIOUX CITY, IA
    ZIP 51108
  • Facility Phone: (712) 239-4333
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LIEM S. OEI
  • NPI Number: 1942315783
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1000620
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMC DIALYSIS SERVICES MIDWEST DIALYSIS
Street 4000 INDIAN HILLS DRIVE
City SIOUX CITY
State IA
ZIP 51108
Phone 7122394333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LIEM S. OEI

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This page was last updated on: 5/18/2026