39D1097388 CLIA NUMBER - FRESENIUS MED CARE OF CHAMBERSBURG

Laboratory Demographics

CLIA Number: 39D1097388

Facility Name: FRESENIUS MED CARE OF CHAMBERSBURG

Facility Address:
22 ST PAUL DRIVE, SUITE 104
CHAMBERSBURG, PA
ZIP 17202
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Facility Phone Number: 717 263-8505

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1336268168

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D1097388
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MED CARE OF CHAMBERSBURG
Street	22 ST PAUL DRIVE, SUITE 104
City	CHAMBERSBURG
State	PA
ZIP	17202
Phone	717 263-8505
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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