31D2041472 CLIA NUMBER - FRESENIUS MEDICAL CARE NORTH MONTCLAIR

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Laboratory Demographics

CLIA Number: 31D2041472

Facility Name: FRESENIUS MEDICAL CARE NORTH MONTCLAIR

Facility Address:
114 VALLEY ROAD
MONTCLAIR, NJ
ZIP 07042
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Facility Phone Number: 973 744-2058

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1326303090

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2041472
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE NORTH MONTCLAIR
Street	114 VALLEY ROAD
City	MONTCLAIR
State	NJ
ZIP	07042
Phone	973 744-2058
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

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