21D2114479 CLIA NUMBER - FRESENIUS KIDNEY CARE NASHUA COURT

Laboratory Demographics

CLIA Number: 21D2114479

Facility Name: FRESENIUS KIDNEY CARE NASHUA COURT

Facility Address:
3 NASHUA COURT SUITE H-K
BALTIMORE, MD
ZIP 21221
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Facility Phone Number: 410 686-1279

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1306207329

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2114479
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE NASHUA COURT
Street	3 NASHUA COURT SUITE H-K
City	BALTIMORE
State	MD
ZIP	21221
Phone	410 686-1279
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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