18D2085245 CLIA NUMBER - FRESENIUS MEDICAL CARE NAK BEREA, LLC

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Laboratory Demographics

CLIA Number: 18D2085245

Facility Name: FRESENIUS MEDICAL CARE NAK BEREA, LLC

Facility Address:
509 RICHMOND ROAD N
BEREA, KY
ZIP 40403
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Facility Phone Number: 606 780-9701

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1861896060

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2085245
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE NAK BEREA, LLC
Street	509 RICHMOND ROAD N
City	BEREA
State	KY
ZIP	40403
Phone	606 780-9701
CertificateType	4
CertificateEffectiveDate	10/9/2022
CertificateExpirationDate	10/8/2024
FacilityType	Waiver

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