25D1007703 CLIA NUMBER - FRESENIUS MEDICAL CARE DIALYSIS SVC OF RANKIN COUNTY BRANDON

Laboratory Demographics

  • CLIA Code: 25D1007703
  • Facility Name: FRESENIUS MEDICAL CARE DIALYSIS SVC OF RANKIN COUNTY BRANDON
  • Facility Address: 209 MAR LYN DRIVE
    BRANDON, MS
    ZIP 39042
  • Facility Phone: 601 591-0053
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MR. MIKE CALLAHAN
  • NPI Number: 1184146789
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1007703
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE DIALYSIS SVC OF RANKIN COUNTY BRANDON
Street 209 MAR LYN DRIVE
City BRANDON
State MS
ZIP 39042
Phone 601 591-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MR. MIKE CALLAHAN

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