36D2131231 CLIA NUMBER - FRESENIUS DAYTON EAST

Laboratory Demographics

CLIA Number: 36D2131231

Facility Name: FRESENIUS DAYTON EAST

Facility Address:
821 S EDWIN C MOSES BLVD
DAYTON, OH
ZIP 45417
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Facility Phone Number: 937 222-5859

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1386180099

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2131231
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS DAYTON EAST
Street	821 S EDWIN C MOSES BLVD
City	DAYTON
State	OH
ZIP	45417
Phone	937 222-5859
CertificateType	4
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	Waiver

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