45D1068713 CLIA NUMBER - FRESENIUS MEDICAL CARE OF ROWLETT DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 45D1068713

Facility Name: FRESENIUS MEDICAL CARE OF ROWLETT DIALYSIS CENTER

Facility Address:
3801 LAKEVIEW DRIVE SUITE 100
ROWLETT, TX
ZIP 75088
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Facility Phone Number: 214 703-6951

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1164799524

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1068713
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE OF ROWLETT DIALYSIS CENTER
Street	3801 LAKEVIEW DRIVE SUITE 100
City	ROWLETT
State	TX
ZIP	75088
Phone	214 703-6951
CertificateType	4
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Waiver

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