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: 3/23/2022