34D2217721 CLIA NUMBER - FRESENIUS KIDNEY CARE - WEST JOHNSON

Laboratory Demographics

CLIA Number: 34D2217721

Facility Name: FRESENIUS KIDNEY CARE - WEST JOHNSON

Facility Address:
55 E MALIBU DR
GARNER, NC
ZIP 27529
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Facility Phone Number: 984 209-5610

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1952986689

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2217721
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE - WEST JOHNSON
Street	55 E MALIBU DR
City	GARNER
State	NC
ZIP	27529
Phone	984 209-5610
CertificateType	4
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Waiver

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