18D2045901 CLIA NUMBER - FRESENIUS MEDICAL CARE GLASGOW

Laboratory Demographics

  • CLIA Code: 18D2045901
  • Facility Name: FRESENIUS MEDICAL CARE GLASGOW
  • Facility Address: 205 PROFESSIONAL PARK DRIVE
    GLASGOW, KY
    ZIP 42141
  • Facility Phone: 270 651-7776
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MR. CARLOS D. ROTELLAR
  • NPI Number: 1235401142
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2045901
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE GLASGOW
Street 205 PROFESSIONAL PARK DRIVE
City GLASGOW
State KY
ZIP 42141
Phone 270 651-7776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MR. CARLOS D. ROTELLAR

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This page was last updated on: 6/4/2025