01D0641810 CLIA NUMBER - Bma Langdale

Laboratory Demographics

CLIA Number: 01D0641810

Facility Name: Bma Langdale

Facility Address:
8 Medical Park,
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,
City Valley
State AL
ZIP 36854
Phone 3347564192

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This page was last updated on: 5/19/2019