23D0949865 CLIA NUMBER - RCG KALAMAZOO DBA FRESENIUS MEDICAL CARE OF KALAMAZOO

Laboratory Demographics

CLIA Number: 23D0949865

Facility Name: RCG KALAMAZOO DBA FRESENIUS MEDICAL CARE OF KALAMAZOO

Facility Address:
521 E MICHIGAN AVENUE
KALAMAZOO, MI
ZIP 49007
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Facility Phone Number: 269 384-6180

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407897465

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0949865
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RCG KALAMAZOO DBA FRESENIUS MEDICAL CARE OF KALAMAZOO
Street	521 E MICHIGAN AVENUE
City	KALAMAZOO
State	MI
ZIP	49007
Phone	269 384-6180
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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