21D2004500 CLIA NUMBER - FRESENIUS MEDICAL CARE SILVER SPRING

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Laboratory Demographics

CLIA Number: 21D2004500

Facility Name: FRESENIUS MEDICAL CARE SILVER SPRING

Facility Address:
12120 PLUM ORCHARD DRIVE STE 140
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 572-2484

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1396994489

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2004500
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE SILVER SPRING
Street	12120 PLUM ORCHARD DRIVE STE 140
City	SILVER SPRING
State	MD
ZIP	20904
Phone	301 572-2484
CertificateType	4
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	Waiver

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