45D2154160 CLIA NUMBER - FRESENIUS KIDNEY CARE MOUNT PLEASANT

Laboratory Demographics

CLIA Number: 45D2154160

Facility Name: FRESENIUS KIDNEY CARE MOUNT PLEASANT

Facility Address:
1407 N JEFFERSON AVE
MOUNT PLEASANT, TX
ZIP 75455
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Facility Phone Number: 903 577-8069

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1518435718

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2154160
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE MOUNT PLEASANT
Street	1407 N JEFFERSON AVE
City	MOUNT PLEASANT
State	TX
ZIP	75455
Phone	903 577-8069
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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