19D0974533 CLIA NUMBER - FRESENIUS MEDICAL CARE KENTWOOD

Laboratory Demographics

CLIA Number: 19D0974533

Facility Name: FRESENIUS MEDICAL CARE KENTWOOD

Facility Address:
916 AVENUE G
KENTWOOD, LA
ZIP 70444
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Facility Phone Number: 504 229-8018

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1427160258

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D0974533
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE KENTWOOD
Street	916 AVENUE G
City	KENTWOOD
State	LA
ZIP	70444
Phone	504 229-8018
CertificateType	4
CertificateEffectiveDate	6/9/2022
CertificateExpirationDate	6/8/2024
FacilityType	Waiver

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