39D0677791 CLIA NUMBER - FRESENIUS MEDICAL SERVICES PARKVIEW

Laboratory Demographics

CLIA Number: 39D0677791

Facility Name: FRESENIUS MEDICAL SERVICES PARKVIEW

Facility Address:
4453 CASTOR AVENUE SUITE A
PHILADELPHIA, PA
ZIP 19124
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Facility Phone Number: 215 744-2465

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1093819864

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D0677791
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL SERVICES PARKVIEW
Street	4453 CASTOR AVENUE SUITE A
City	PHILADELPHIA
State	PA
ZIP	19124
Phone	215 744-2465
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