45D2119956 CLIA NUMBER - FRESENIUS KIDNEY CARE CAPROCK

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Laboratory Demographics

CLIA Number: 45D2119956

Facility Name: FRESENIUS KIDNEY CARE CAPROCK

Facility Address:
8704 UNIVERSITY AVENUE
LUBBOCK, TX
ZIP 79423
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Facility Phone Number: 806 748-0002

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1235685470

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2119956
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE CAPROCK
Street	8704 UNIVERSITY AVENUE
City	LUBBOCK
State	TX
ZIP	79423
Phone	806 748-0002
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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