34D2104841 CLIA NUMBER - FRESENIUS MEDICAL CARE FARMVILLE

Laboratory Demographics

CLIA Number: 34D2104841

Facility Name: FRESENIUS MEDICAL CARE FARMVILLE

Facility Address:
4302 SOUTH MAIN STREET
FARMVILLE, NC
ZIP 27828
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Facility Phone Number: 252 753-0092

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1316314230

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2104841
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE FARMVILLE
Street	4302 SOUTH MAIN STREET
City	FARMVILLE
State	NC
ZIP	27828
Phone	252 753-0092
CertificateType	4
CertificateEffectiveDate	11/13/2023
CertificateExpirationDate	11/12/2025
FacilityType	Waiver

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