01D0304795 CLIA NUMBER - RENAL-HYPERTENSION CLNC

Laboratory Demographics

CLIA Number: 01D0304795

Facility Name: RENAL-HYPERTENSION CLNC

Facility Address:
1540 E MAIN
DOTHAN, AL
ZIP 36301
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Facility Phone Number: (334) 793-2618

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1063526663

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304795
LAB Type	PHYSICIAN OFFICE
Facility Name	RENAL-HYPERTENSION CLNC
Street	1540 E MAIN
City	DOTHAN
State	AL
ZIP	36301
Phone	(334) 793-2618

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