23D1042685 CLIA NUMBER - FRESENIUS MEDICAL CARE KALAMAZOO HOME

Laboratory Demographics

CLIA Number: 23D1042685

Facility Name: FRESENIUS MEDICAL CARE KALAMAZOO HOME

Facility Address:
527 E MICHIGAN AVENUE
KALAMAZOO, MI
ZIP 49007
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Facility Phone Number: 269 384-6191

Facility Type: Other - HOME DIALYSIS UNIT

Certificate Type: Waiver

NPI Number: 1497332373

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1042685
LAB Type	Other - HOME DIALYSIS UNIT
Facility Name	FRESENIUS MEDICAL CARE KALAMAZOO HOME
Street	527 E MICHIGAN AVENUE
City	KALAMAZOO
State	MI
ZIP	49007
Phone	269 384-6191
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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