01D0662847 CLIA NUMBER - BMA-HUNTSVILLE DIALYSIS

Laboratory Demographics

CLIA Number: 01D0662847

Facility Name: BMA-HUNTSVILLE DIALYSIS

Facility Address:
2325 PANSY STREET SUITE C
HUNTSVILLE, AL
ZIP 35801
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Facility Phone Number: (256) 536-1881

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1588776314

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0662847
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	BMA-HUNTSVILLE DIALYSIS
Street	2325 PANSY STREET SUITE C
City	HUNTSVILLE
State	AL
ZIP	35801
Phone	(256) 536-1881

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