45D2043247 CLIA NUMBER - FRESENIUS KIDNEY CARE FT STOCKTON

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Laboratory Demographics

CLIA Number: 45D2043247

Facility Name: FRESENIUS KIDNEY CARE FT STOCKTON

Facility Address:
387 W IH 10 SUITE C
FORT STOCKTON, TX
ZIP 79735
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Facility Phone Number: 432 336-8041

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1164098877

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2043247
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE FT STOCKTON
Street	387 W IH 10 SUITE C
City	FORT STOCKTON
State	TX
ZIP	79735
Phone	432 336-8041
CertificateType	4
CertificateEffectiveDate	6/29/2022
CertificateExpirationDate	6/28/2024
FacilityType	Waiver

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