01D0303998 CLIA NUMBER - FMC CAPITOL CITY

Laboratory Demographics

CLIA Number: 01D0303998

Facility Name: FMC CAPITOL CITY

Facility Address:
255 SOUTH JACKSON STREET
MONTGOMERY, AL
ZIP 36104
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Facility Phone Number: (334) 263-1028

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1780796532

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0303998
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FMC CAPITOL CITY
Street	255 SOUTH JACKSON STREET
City	MONTGOMERY
State	AL
ZIP	36104
Phone	(334) 263-1028

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This page was last updated on: 5/11/2023