22D0857519 CLIA NUMBER - FRESENIUS MEDICAL SERVICES OF STONEHAM

Laboratory Demographics

CLIA Number: 22D0857519

Facility Name: FRESENIUS MEDICAL SERVICES OF STONEHAM

Facility Address:
2 MAIN STREET SUITE 100
STONEHAM, MA
ZIP 02180
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Facility Phone Number: 617 665-5544

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1245249952

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D0857519
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL SERVICES OF STONEHAM
Street	2 MAIN STREET SUITE 100
City	STONEHAM
State	MA
ZIP	02180
Phone	617 665-5544
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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