36D2084076 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF OHIO INC DBA FRESENIUS MEDICAL CARE WILLARD

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Laboratory Demographics

CLIA Number: 36D2084076

Facility Name: BIO-MEDICAL APPLICATIONS OF OHIO INC DBA FRESENIUS MEDICAL CARE WILLARD

Facility Address:
209 RAE COURT
WILLARD, OH
ZIP 44890
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Facility Phone Number: 419 935-0521

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1306253364

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2084076
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF OHIO INC DBA FRESENIUS MEDICAL CARE WILLARD
Street	209 RAE COURT
City	WILLARD
State	OH
ZIP	44890
Phone	419 935-0521
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

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