45D0933108 CLIA NUMBER - FMC DIALYSIS SERVICES ALVIN

Laboratory Demographics

CLIA Number: 45D0933108

Facility Name: FMC DIALYSIS SERVICES ALVIN

Facility Address:
2625 S BYPASS 35, SUITE #154
ALVIN, TX
ZIP 77511
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Facility Phone Number: 281 388-0707

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1346342524

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0933108
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FMC DIALYSIS SERVICES ALVIN
Street	2625 S BYPASS 35, SUITE #154
City	ALVIN
State	TX
ZIP	77511
Phone	281 388-0707
CertificateType	4
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Waiver

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