22D1022549 CLIA NUMBER - FRESENIUS MEDICAL CARE OF NEWBURYPORT

Laboratory Demographics

CLIA Number: 22D1022549

Facility Name: FRESENIUS MEDICAL CARE OF NEWBURYPORT

Facility Address:
260 MERRIMAC ST TOWLE BLDG
NEWBURYPORT, MA
ZIP 01950
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Facility Phone Number: 978 465-7030

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1366451072

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D1022549
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE OF NEWBURYPORT
Street	260 MERRIMAC ST TOWLE BLDG
City	NEWBURYPORT
State	MA
ZIP	01950
Phone	978 465-7030
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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