52D2183596 CLIA NUMBER - FRESENIUS KIDNEY CARE GREENFIELD

Laboratory Demographics

CLIA Number: 52D2183596

Facility Name: FRESENIUS KIDNEY CARE GREENFIELD

Facility Address:
5125 W MORGAN AVE
GREENFIELD, WI
ZIP 53220
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Facility Phone Number: 414 290-8236

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1316570989

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D2183596
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE GREENFIELD
Street	5125 W MORGAN AVE
City	GREENFIELD
State	WI
ZIP	53220
Phone	414 290-8236
CertificateType	4
CertificateEffectiveDate	5/7/2024
CertificateExpirationDate	5/6/2026
FacilityType	Waiver

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