18D2127545 CLIA NUMBER - FRESENIUS KIDNEY CARE WAYNE COUNTY

Laboratory Demographics

CLIA Number: 18D2127545

Facility Name: FRESENIUS KIDNEY CARE WAYNE COUNTY

Facility Address:
40 WALMART PLAZA
MONTICELLO, KY
ZIP 42633
Get Directions

Facility Phone Number: 606 348-3895

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1770939241

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2127545
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE WAYNE COUNTY
Street	40 WALMART PLAZA
City	MONTICELLO
State	KY
ZIP	42633
Phone	606 348-3895
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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