32D2152129 CLIA NUMBER - FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO

Laboratory Demographics

CLIA Number: 32D2152129

Facility Name: FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO

Facility Address:
700 LOMAS BLVD NE THREE WOODWARD CENTER
ALBUQUERQUE, NM
ZIP 87102
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Facility Phone Number: 505 842-5210

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1073077954

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2152129
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO
Street	700 LOMAS BLVD NE THREE WOODWARD CENTER
City	ALBUQUERQUE
State	NM
ZIP	87102
Phone	505 842-5210
CertificateType	4
CertificateEffectiveDate	8/3/2022
CertificateExpirationDate	8/2/2024
FacilityType	Waiver

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