01D0641528 CLIA NUMBER - BIRMINGHAM EAST DIALYSIS

Laboratory Demographics

  • CLIA Code: 01D0641528
  • Facility Name: BIRMINGHAM EAST DIALYSIS
  • Facility Address: 1105 EAST PARK DRIVE
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 833-6003
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALAN AL-BALAS
  • NPI Number: 1598738080
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0641528
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BIRMINGHAM EAST DIALYSIS
Street 1105 EAST PARK DRIVE
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 833-6003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALAN AL-BALAS

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This page was last updated on: 6/4/2025