34D1092598 CLIA NUMBER - FRESENIUS MEDICAL CARE STALLINGS STATION

Laboratory Demographics

CLIA Number: 34D1092598

Facility Name: FRESENIUS MEDICAL CARE STALLINGS STATION

Facility Address:
86 HEALTHPARK WAY
CLAYTON, NC
ZIP 27520
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Facility Phone Number: 919 550-7456

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1992009971

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1092598
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE STALLINGS STATION
Street	86 HEALTHPARK WAY
City	CLAYTON
State	NC
ZIP	27520
Phone	919 550-7456
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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