01D0641528 CLIA NUMBER - Birmingham East Dialysis

Laboratory Demographics

CLIA Number: 01D0641528

Facility Name: Birmingham East Dialysis

Facility Address:
1105 East Park Drive
Birmingham, AL
ZIP 35235
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Facility Phone Number: (205) 833-6003

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1598738080

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0641528
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Birmingham East Dialysis
Street 1105 East Park Drive
City Birmingham
State AL
ZIP 35235
Phone (205) 833-6003

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This page was last updated on: 12/19/2019