44D2093434 CLIA NUMBER - FRESENIUS MEDICAL CARE KNOXVILLE HOME DIALYSIS THERAPIES

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Laboratory Demographics

CLIA Number: 44D2093434

Facility Name: FRESENIUS MEDICAL CARE KNOXVILLE HOME DIALYSIS THERAPIES

Facility Address:
1826 AILOR AVE
KNOXVILLE, TN
ZIP 37921
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Facility Phone Number: 865 524-5308

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1063439784

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2093434
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE KNOXVILLE HOME DIALYSIS THERAPIES
Street	1826 AILOR AVE
City	KNOXVILLE
State	TN
ZIP	37921
Phone	865 524-5308
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024