45D2120431 CLIA NUMBER - FRESENIUS KIDNEY CARE PASADENA-CRENSHAW

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Laboratory Demographics

CLIA Number: 45D2120431

Facility Name: FRESENIUS KIDNEY CARE PASADENA-CRENSHAW

Facility Address:
5040 CRENSHAW ROAD SUITE 200
PASADENA, TX
ZIP 77505
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Facility Phone Number: 832 703-0450

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1740757962

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2120431
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE PASADENA-CRENSHAW
Street	5040 CRENSHAW ROAD SUITE 200
City	PASADENA
State	TX
ZIP	77505
Phone	832 703-0450
CertificateType	4
CertificateEffectiveDate	10/17/2022
CertificateExpirationDate	10/16/2024
FacilityType	Waiver

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