27D2049559 CLIA NUMBER - FRESENIUS MEDICAL CARE BUTTE

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Laboratory Demographics

CLIA Number: 27D2049559

Facility Name: FRESENIUS MEDICAL CARE BUTTE

Facility Address:
3745 HARRISON AVE, STE D
BUTTE, MT
ZIP 59701
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Facility Phone Number: 406 494-7027

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1679871537

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	27D2049559
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE BUTTE
Street	3745 HARRISON AVE, STE D
City	BUTTE
State	MT
ZIP	59701
Phone	406 494-7027
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

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