38D2068815 CLIA NUMBER - FRESENIUS MEDICAL CARE NOBLE WOODS LLC

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Laboratory Demographics

CLIA Number: 38D2068815

Facility Name: FRESENIUS MEDICAL CARE NOBLE WOODS LLC

Facility Address:
5333 E MAIN STREET
HILLSBORO, OR
ZIP 97123
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Facility Phone Number: 503 615-2161

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1619316122

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2068815
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE NOBLE WOODS LLC
Street	5333 E MAIN STREET
City	HILLSBORO
State	OR
ZIP	97123
Phone	503 615-2161
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

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