17D0667873 CLIA NUMBER - FRESENIUS MEDICAL CARE PITTSBURG MIDWEST

Laboratory Demographics

CLIA Number: 17D0667873

Facility Name: FRESENIUS MEDICAL CARE PITTSBURG MIDWEST

Facility Address:
2824 NORTH BROADWAY
PITTSBURG, KS
ZIP 66762
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Facility Phone Number: 620 223-3161

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1326051772

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D0667873
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE PITTSBURG MIDWEST
Street	2824 NORTH BROADWAY
City	PITTSBURG
State	KS
ZIP	66762
Phone	620 223-3161
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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