34D2188111 CLIA NUMBER - FRESENIUS KIDNEY CARE - BOICE-WILLIS

Laboratory Demographics

CLIA Number: 34D2188111

Facility Name: FRESENIUS KIDNEY CARE - BOICE-WILLIS

Facility Address:
1422 MEADOWBROOK ROAD
ROCKY MOUNT, NC
ZIP 27801
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Facility Phone Number: 252 316-4237

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730793571

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2188111
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE - BOICE-WILLIS
Street	1422 MEADOWBROOK ROAD
City	ROCKY MOUNT
State	NC
ZIP	27801
Phone	252 316-4237
CertificateType	4
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	Waiver

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