39D0657511 CLIA NUMBER - FRESENIUS KIDNEY CARE STROUDSBURG

Laboratory Demographics

CLIA Number: 39D0657511

Facility Name: FRESENIUS KIDNEY CARE STROUDSBURG

Facility Address:
55 N 3RD ST
STROUDSBURG, PA
ZIP 18360
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Facility Phone Number: 570 534-6142

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1841394715

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0657511
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE STROUDSBURG
Street	55 N 3RD ST
City	STROUDSBURG
State	PA
ZIP	18360
Phone	570 534-6142
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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