16D2120796 CLIA NUMBER - FRESENIUS MEDICAL CARE- MUSCATINE

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Laboratory Demographics

CLIA Number: 16D2120796

Facility Name: FRESENIUS MEDICAL CARE- MUSCATINE

Facility Address:
311 PARHAM ST
MUSCATINE, IA
ZIP 52761
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Facility Phone Number: 563 263-5384

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1912367392

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D2120796
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE- MUSCATINE
Street	311 PARHAM ST
City	MUSCATINE
State	IA
ZIP	52761
Phone	563 263-5384
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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