34D0885811 CLIA NUMBER - FRESENIUS MEDICAL CARE - LINCOLNTON

Laboratory Demographics

CLIA Number: 34D0885811

Facility Name: FRESENIUS MEDICAL CARE - LINCOLNTON

Facility Address:
1090 S GROVE STREET EXT
LINCOLNTON, NC
ZIP 28092
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Facility Phone Number: 704 736-9300

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1780601427

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0885811
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE - LINCOLNTON
Street	1090 S GROVE STREET EXT
City	LINCOLNTON
State	NC
ZIP	28092
Phone	704 736-9300
CertificateType	4
CertificateEffectiveDate	5/3/2024
CertificateExpirationDate	5/2/2026
FacilityType	Waiver

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