52D2255851 CLIA NUMBER - FRESENIUS KIDNEY CARE SHEBOYGAN

Laboratory Demographics

CLIA Number: 52D2255851

Facility Name: FRESENIUS KIDNEY CARE SHEBOYGAN

Facility Address:
2925 SAEMANN AVE
SHEBOYGAN, WI
ZIP 53081
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Facility Phone Number: 920 459-4790

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1326704784

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D2255851
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE SHEBOYGAN
Street	2925 SAEMANN AVE
City	SHEBOYGAN
State	WI
ZIP	53081
Phone	920 459-4790
CertificateType	4
CertificateEffectiveDate	3/17/2024
CertificateExpirationDate	3/16/2026
FacilityType	Waiver

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