36D1004242 CLIA NUMBER - FRESENIUS KIDNEY CARE LIMA

Laboratory Demographics

CLIA Number: 36D1004242

Facility Name: FRESENIUS KIDNEY CARE LIMA

Facility Address:
750 W HIGH ST, STE #100
LIMA, OH
ZIP 45801
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Facility Phone Number: 419 227-0918

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407200074

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D1004242
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE LIMA
Street	750 W HIGH ST, STE #100
City	LIMA
State	OH
ZIP	45801
Phone	419 227-0918
CertificateType	4
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	Waiver

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