44D0867839 CLIA NUMBER - FMC DIALYSIS SERVICES OF KINGSPORT

Laboratory Demographics

CLIA Number: 44D0867839

Facility Name: FMC DIALYSIS SERVICES OF KINGSPORT

Facility Address:
2002 BROOKSIDE DRIVE SUITE 101
KINGSPORT, TN
ZIP 37660
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Facility Phone Number: (423) 245-6464

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1902918717

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0867839
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FMC DIALYSIS SERVICES OF KINGSPORT
Street	2002 BROOKSIDE DRIVE SUITE 101
City	KINGSPORT
State	TN
ZIP	37660
Phone	(423) 245-6464

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This page was last updated on: 5/11/2023