23D2238614 CLIA NUMBER - FRESENIUS KIDNEY CARE JACKSON HOME

Laboratory Demographics

  • CLIA Code: 23D2238614
  • Facility Name: FRESENIUS KIDNEY CARE JACKSON HOME
  • Facility Address: 333 W LOUIS GLICK HIGHWAY
    JACKSON, MI
    ZIP 49201
  • Facility Phone: 517 200-4720
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KAVITA LUTHRA
  • NPI Number: 1427790427
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2238614
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE JACKSON HOME
Street 333 W LOUIS GLICK HIGHWAY
City JACKSON
State MI
ZIP 49201
Phone 517 200-4720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KAVITA LUTHRA

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This page was last updated on: 9/29/2025