45D2164206 CLIA NUMBER - FRESENIUS KIDNEY CARE WILLOW BEND

Laboratory Demographics

CLIA Number: 45D2164206

Facility Name: FRESENIUS KIDNEY CARE WILLOW BEND

Facility Address:
6823 COMMUNICATIONS PARKWAY BLDG A
PLANO, TX
ZIP 75024
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Facility Phone Number: 214 474-0025

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407325905

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2164206
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE WILLOW BEND
Street	6823 COMMUNICATIONS PARKWAY BLDG A
City	PLANO
State	TX
ZIP	75024
Phone	214 474-0025
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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