19D1078301 CLIA NUMBER - FRESENIUS MEDICAL CARE SLIDELL (FMC - SLIDELL) BIO MEDICAL APPLICATIONS OF LOUISIANA LLC

Laboratory Demographics

CLIA Number: 19D1078301

Facility Name: FRESENIUS MEDICAL CARE SLIDELL (FMC - SLIDELL) BIO MEDICAL APPLICATIONS OF LOUISIANA LLC

Facility Address:
877 BROWNSWITCH ROAD
SLIDELL, LA
ZIP 70458
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Facility Phone Number: 985 643-6283

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1013101138

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D1078301
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE SLIDELL (FMC - SLIDELL) BIO MEDICAL APPLICATIONS OF LOUISIANA LLC
Street	877 BROWNSWITCH ROAD
City	SLIDELL
State	LA
ZIP	70458
Phone	985 643-6283
CertificateType	4
CertificateEffectiveDate	1/7/2024
CertificateExpirationDate	1/6/2026
FacilityType	Waiver

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