23D0989492 CLIA NUMBER - FRESENIUS KIDNEY CARE ST CLAIR SHORES

Laboratory Demographics

  • CLIA Code: 23D0989492
  • Facility Name: FRESENIUS KIDNEY CARE ST CLAIR SHORES
  • Facility Address: 19701 VERNIER ROAD SUITE 100
    HARPER WOODS, MI
    ZIP 48225
  • Facility Phone: 313 825-2603
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STACY Z. KER
  • NPI Number: 1033224878
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0989492
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE ST CLAIR SHORES
Street 19701 VERNIER ROAD SUITE 100
City HARPER WOODS
State MI
ZIP 48225
Phone 313 825-2603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2023
Certificate Expiration Date 7/26/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STACY Z. KER

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This page was last updated on: 6/4/2025