24D2078748 CLIA NUMBER - FRESENIUS MEDICAL CARE TWO RIVERS DIALYSIS

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Laboratory Demographics

CLIA Number: 24D2078748

Facility Name: FRESENIUS MEDICAL CARE TWO RIVERS DIALYSIS

Facility Address:
1355 SOUTH FRONTAGE RD, SUITE 380
HASTINGS, MN
ZIP 55033
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Facility Phone Number: 651 437-0256

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1174945265

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D2078748
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE TWO RIVERS DIALYSIS
Street	1355 SOUTH FRONTAGE RD, SUITE 380
City	HASTINGS
State	MN
ZIP	55033
Phone	651 437-0256
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

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