41D1004371 CLIA NUMBER - FRESENIUS MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 41D1004371
  • Facility Name: FRESENIUS MEDICAL CARE
  • Facility Address: 79 DIVISION STREET
    PAWTUCKET, RI
    ZIP 02860
  • Facility Phone: 401 723-9995
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. CLEMENT MD
  • NPI Number: 1215946272
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D1004371
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE
Street 79 DIVISION STREET
City PAWTUCKET
State RI
ZIP 02860
Phone 401 723-9995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEFFREY D. CLEMENT MD

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This page was last updated on: 6/4/2025