42D0251057 CLIA NUMBER - FRESENIUS MEDICAL CARE GEORGETOWN

Laboratory Demographics

CLIA Number: 42D0251057

Facility Name: FRESENIUS MEDICAL CARE GEORGETOWN

Facility Address:
1120 NORTH FRASER STREET
GEORGETOWN, SC
ZIP 29440
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Facility Phone Number: 843 527-3431

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1144401365

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	42D0251057
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE GEORGETOWN
Street	1120 NORTH FRASER STREET
City	GEORGETOWN
State	SC
ZIP	29440
Phone	843 527-3431
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