42D0251057 CLIA NUMBER - FRESENIUS MEDICAL CARE GEORGETOWN

Laboratory Demographics

  • CLIA Code: 42D0251057
  • Facility Name: FRESENIUS MEDICAL CARE GEORGETOWN
  • Facility Address: 1120 NORTH FRASER STREET
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 843 527-3431
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID ROSNACK
  • NPI Number: 1144401365
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID ROSNACK

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This page was last updated on: 9/29/2025