52D2224268 CLIA NUMBER - FRESENIUS MED CARE MIDWEST NEPHROLOGY ASSOCIATES BURLINGTON

Laboratory Demographics

CLIA Number: 52D2224268

Facility Name: FRESENIUS MED CARE MIDWEST NEPHROLOGY ASSOCIATES BURLINGTON

Facility Address:
2049 LYNCH WAY
BURLINGTON, WI
ZIP 53105
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Facility Phone Number: 262 757-7790

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1942888011

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D2224268
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MED CARE MIDWEST NEPHROLOGY ASSOCIATES BURLINGTON
Street	2049 LYNCH WAY
City	BURLINGTON
State	WI
ZIP	53105
Phone	262 757-7790
CertificateType	4
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Waiver

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