16D2025736 CLIA NUMBER - GARNER DIALYSIS, LLC DBA IOWA FALLS MARY GREELEY DIALYSIS

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Laboratory Demographics

CLIA Number: 16D2025736

Facility Name: GARNER DIALYSIS, LLC DBA IOWA FALLS MARY GREELEY DIALYSIS

Facility Address:
701 WASHINGTON AVENUE
IOWA FALLS, IA
ZIP 50126
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Facility Phone Number: 641 648-5241

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1275823098

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D2025736
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	GARNER DIALYSIS, LLC DBA IOWA FALLS MARY GREELEY DIALYSIS
Street	701 WASHINGTON AVENUE
City	IOWA FALLS
State	IA
ZIP	50126
Phone	641 648-5241
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

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