34D2185233 CLIA NUMBER - FRESENIUS KIDNEY CARE EAST JOHNSTON

Laboratory Demographics

CLIA Number: 34D2185233

Facility Name: FRESENIUS KIDNEY CARE EAST JOHNSTON

Facility Address:
67 JR RD SUITE 1200
SELMA, NC
ZIP 27576
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Facility Phone Number: 984 223-3473

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1114546298

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 34D2185233
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE EAST JOHNSTON
Street 67 JR RD SUITE 1200
City SELMA
State NC
ZIP 27576
Phone 984 223-3473
CertificateType 4
CertificateEffectiveDate 6/1/2022
CertificateExpirationDate 5/31/2024
FacilityType Waiver

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