22D2110029 CLIA NUMBER - FRESENIUS MEDICAL CARE OF FAIRHAVEN

Laboratory Demographics

  • CLIA Code: 22D2110029
  • Facility Name: FRESENIUS MEDICAL CARE OF FAIRHAVEN
  • Facility Address: 216 HUTTLESTON AVE
    FAIRHAVEN, MA
    ZIP 02719
  • Facility Phone: 508 996-0364
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAGAR S. PATEL
  • NPI Number: 1942673819
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2110029
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE OF FAIRHAVEN
Street 216 HUTTLESTON AVE
City FAIRHAVEN
State MA
ZIP 02719
Phone 508 996-0364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAGAR S. PATEL

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This page was last updated on: 3/20/2025