32D0705418 CLIA NUMBER - FRESENIUS MEDICAL CARE NE ALBUQUERQUE DIALYSIS

Laboratory Demographics

CLIA Number: 32D0705418

Facility Name: FRESENIUS MEDICAL CARE NE ALBUQUERQUE DIALYSIS

Facility Address:
11296 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87112
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Facility Phone Number: 505 298-5557

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1306958202

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D0705418
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE NE ALBUQUERQUE DIALYSIS
Street	11296 LOMAS BLVD NE
City	ALBUQUERQUE
State	NM
ZIP	87112
Phone	505 298-5557
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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