34D0963956 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA INC DBA FMC DIALYSIS SERVICES OF SOUTH RAMSEY

Laboratory Demographics

CLIA Number: 34D0963956

Facility Name: BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA INC DBA FMC DIALYSIS SERVICES OF SOUTH RAMSEY

Facility Address:
526 RAMSEY STREET
FAYETTEVILLE, NC
ZIP 28301
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Facility Phone Number: 910 221-4362

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1154433969

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0963956
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA INC DBA FMC DIALYSIS SERVICES OF SOUTH RAMSEY
Street	526 RAMSEY STREET
City	FAYETTEVILLE
State	NC
ZIP	28301
Phone	910 221-4362
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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