16D1083657 CLIA NUMBER - FRESENIUS MEDICAL CARE - SOUTH

Laboratory Demographics

CLIA Number: 16D1083657

Facility Name: FRESENIUS MEDICAL CARE - SOUTH

Facility Address:
6651 SW 9TH STREET
DES MOINES, IA
ZIP 50320
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Facility Phone Number: 515 285-3032

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1740393883

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D1083657
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE - SOUTH
Street	6651 SW 9TH STREET
City	DES MOINES
State	IA
ZIP	50320
Phone	515 285-3032
CertificateType	4
CertificateEffectiveDate	5/7/2024
CertificateExpirationDate	5/6/2026
FacilityType	Waiver

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