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

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	3347932618

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This page was last updated on: 12/21/2017