34D2135826 CLIA NUMBER - FRESENIUS MEDICAL CARE WHITE OAK DBA FRESENIUS MEDICAL CARE WHITE OAK

Laboratory Demographics

CLIA Number: 34D2135826

Facility Name: FRESENIUS MEDICAL CARE WHITE OAK DBA FRESENIUS MEDICAL CARE WHITE OAK

Facility Address:
520 TIMBER DRIVE EAST, SUITE 105
GARNER, NC
ZIP 27529
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Facility Phone Number: 919 779-6001

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1376062208

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2135826
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE WHITE OAK DBA FRESENIUS MEDICAL CARE WHITE OAK
Street	520 TIMBER DRIVE EAST, SUITE 105
City	GARNER
State	NC
ZIP	27529
Phone	919 779-6001
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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