24D1097823 CLIA NUMBER - FRESENIUS KIDNEY CARE DOUGLAS COUNTY

Laboratory Demographics

CLIA Number: 24D1097823

Facility Name: FRESENIUS KIDNEY CARE DOUGLAS COUNTY

Facility Address:
111 17TH AVE EAST
ALEXANDRIA, MN
ZIP 56308
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Facility Phone Number: 320 762-1226

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1265107197

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D1097823
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE DOUGLAS COUNTY
Street	111 17TH AVE EAST
City	ALEXANDRIA
State	MN
ZIP	56308
Phone	320 762-1226
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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