45D2207608 CLIA NUMBER - FRESENIUS KIDNEY CARE RED ARROYO

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Laboratory Demographics

CLIA Number: 45D2207608

Facility Name: FRESENIUS KIDNEY CARE RED ARROYO

Facility Address:
3417 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76901
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Facility Phone Number: 325 284-3960

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1992391247

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2207608
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE RED ARROYO
Street	3417 SHERWOOD WAY
City	SAN ANGELO
State	TX
ZIP	76901
Phone	325 284-3960
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
FacilityType	Waiver

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