Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D1071612
|
|
Clinical laboratory number
|
|
Lab Name
|
LIBERTY DIALYSIS-KOKOMO, LLC D/B/A US RENAL CARE
|
|
Laboratory Name
|
|
Lab Type
|
End Stage Renal Disease Dialysis Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
765-864-1669
|
|
Laboratory telephone number
|
|
Fax
|
765-864-1758
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
3760 S REED RD
|
|
Primary location adress line
|
|
City
|
KOKOMO
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46902-3829
|
|
Primary location postal code
|