39D0665849 CLIA NUMBER - FRESENIUS MEDICAL CARE GERMANTOWN DIALYSIS

Laboratory Demographics

CLIA Number: 39D0665849

Facility Name: FRESENIUS MEDICAL CARE GERMANTOWN DIALYSIS

Facility Address:
3401 FOX STREET SUITE C
PHILADELPHIA, PA
ZIP 19129
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Facility Phone Number: 215 221-3120

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1891890174

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0665849
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE GERMANTOWN DIALYSIS
Street	3401 FOX STREET SUITE C
City	PHILADELPHIA
State	PA
ZIP	19129
Phone	215 221-3120
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