52D1052652 CLIA NUMBER - FRESENIUS MEDICAL CARE OF WAUPACA

Laboratory Demographics

  • CLIA Code: 52D1052652
  • Facility Name: FRESENIUS MEDICAL CARE OF WAUPACA
  • Facility Address: 102 GRAND SEASONS DR STE 7
    WAUPACA, WI
    ZIP 54981
  • Facility Phone: 715 258-2547
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. OSAID AHMAD
  • NPI Number: 1730116443
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1052652
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE OF WAUPACA
Street 102 GRAND SEASONS DR STE 7
City WAUPACA
State WI
ZIP 54981
Phone 715 258-2547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. OSAID AHMAD

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This page was last updated on: 6/4/2025