24D1097833 CLIA NUMBER - FRESENIUS KIDNEY CARE BRAINERD

Laboratory Demographics

CLIA Number: 24D1097833

Facility Name: FRESENIUS KIDNEY CARE BRAINERD

Facility Address:
2024 SOUTH 6TH STREET
BRAINERD, MN
ZIP 56401
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Facility Phone Number: 218 825-8964

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1942975883

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D1097833
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE BRAINERD
Street	2024 SOUTH 6TH STREET
City	BRAINERD
State	MN
ZIP	56401
Phone	218 825-8964
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