19D1065183 CLIA NUMBER - FRESENIUS MEDICAL CARE KENNER

Laboratory Demographics

CLIA Number: 19D1065183

Facility Name: FRESENIUS MEDICAL CARE KENNER

Facility Address:
2717 DECATUR STREET
KENNER, LA
ZIP 70062
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Facility Phone Number: 504 469-1075

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1447381280

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D1065183
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE KENNER
Street	2717 DECATUR STREET
City	KENNER
State	LA
ZIP	70062
Phone	504 469-1075
CertificateType	4
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Waiver

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