52D0397857 CLIA NUMBER - FRESENIUS MEDICAL CARE NEENAH

Laboratory Demographics

CLIA Number: 52D0397857

Facility Name: FRESENIUS MEDICAL CARE NEENAH

Facility Address:
300 N COMMERCIAL ST SUITE 100
NEENAH, WI
ZIP 54956
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Facility Phone Number: 920 725-7861

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1093820854

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D0397857
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE NEENAH
Street	300 N COMMERCIAL ST SUITE 100
City	NEENAH
State	WI
ZIP	54956
Phone	920 725-7861
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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