01D0641810 CLIA NUMBER - BMA LANGDALE

Laboratory Demographics

CLIA Number: 01D0641810

Facility Name: BMA LANGDALE

Facility Address:
8 MEDICAL PARK NORTH
VALLEY, AL
ZIP 36854
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Facility Phone Number: (334) 756-4192

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1023120862

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0641810
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	BMA LANGDALE
Street	8 MEDICAL PARK NORTH
City	VALLEY
State	AL
ZIP	36854
Phone	(334) 756-4192

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