29D2187032 CLIA NUMBER - FRESENIUS KIDNEY CARE UNION VILLAGE DIALYSIS

Laboratory Demographics

CLIA Number: 29D2187032

Facility Name: FRESENIUS KIDNEY CARE UNION VILLAGE DIALYSIS

Facility Address:
1051 WELLNESS PL STE 100
HENDERSON, NV
ZIP 89011
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Facility Phone Number: 725 220-8575

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1508494295

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D2187032
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE UNION VILLAGE DIALYSIS
Street	1051 WELLNESS PL STE 100
City	HENDERSON
State	NV
ZIP	89011
Phone	725 220-8575
CertificateType	4
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Waiver

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