45D0947861 CLIA NUMBER - FMC DIALYSIS SERVICES MISSOURI CITY

Laboratory Demographics

CLIA Number: 45D0947861

Facility Name: FMC DIALYSIS SERVICES MISSOURI CITY

Facility Address:
1673 CARTWRIGHT ROAD
MISSOURI CITY, TX
ZIP 77459
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Facility Phone Number: 281 437-9700

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1164534053

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0947861
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FMC DIALYSIS SERVICES MISSOURI CITY
Street	1673 CARTWRIGHT ROAD
City	MISSOURI CITY
State	TX
ZIP	77459
Phone	281 437-9700
CertificateType	4
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Waiver

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