21D0935503 CLIA NUMBER - FRESENIUS MEDICAL CARE OF WHEATON

Laboratory Demographics

CLIA Number: 21D0935503

Facility Name: FRESENIUS MEDICAL CARE OF WHEATON

Facility Address:
10901B GEORGIA AVENUE
SILVER SPRING, MD
ZIP 20902
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Facility Phone Number: 301 933-1307

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1558465328

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0935503
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE OF WHEATON
Street	10901B GEORGIA AVENUE
City	SILVER SPRING
State	MD
ZIP	20902
Phone	301 933-1307
CertificateType	4
CertificateEffectiveDate	5/19/2023
CertificateExpirationDate	5/18/2025
FacilityType	Waiver

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