21D2080633 CLIA NUMBER - FRESENIUS MED CARE KAMI PRN, LLC DBA FMC N SALISBU

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Laboratory Demographics

CLIA Number: 21D2080633

Facility Name: FRESENIUS MED CARE KAMI PRN, LLC DBA FMC N SALISBU

Facility Address:
1314 BELMONT AVE SUITE 304
SALISBURY, MD
ZIP 21804
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Facility Phone Number: 410 860-6650

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1275763492

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2080633
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MED CARE KAMI PRN, LLC DBA FMC N SALISBU
Street	1314 BELMONT AVE SUITE 304
City	SALISBURY
State	MD
ZIP	21804
Phone	410 860-6650
CertificateType	4
CertificateEffectiveDate	7/11/2022
CertificateExpirationDate	7/10/2024
FacilityType	Waiver

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