32D2145501 CLIA NUMBER - FRESENIUS KIDNEY CARE TURQUOISE TRAIL

Laboratory Demographics

CLIA Number: 32D2145501

Facility Name: FRESENIUS KIDNEY CARE TURQUOISE TRAIL

Facility Address:
5221 LAS SOLERAS DR
SANTA FE, NM
ZIP 87507
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Facility Phone Number: 505 255-0111

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1548599301

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2145501
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE TURQUOISE TRAIL
Street	5221 LAS SOLERAS DR
City	SANTA FE
State	NM
ZIP	87507
Phone	505 255-0111
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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