42D0703522 CLIA NUMBER - FRESENIUS MEDICAL CARE MARION

Laboratory Demographics

CLIA Number: 42D0703522

Facility Name: FRESENIUS MEDICAL CARE MARION

Facility Address:
109 MERRITT COURT
MARION, SC
ZIP 29571
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Facility Phone Number: 843 423-4673

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1720190556

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0703522
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE MARION
Street	109 MERRITT COURT
City	MARION
State	SC
ZIP	29571
Phone	843 423-4673
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