01D0665715 CLIA NUMBER - FMC DIALYSIS SERVICES SELMA

Laboratory Demographics

  • CLIA Code: 01D0665715
  • Facility Name: FMC DIALYSIS SERVICES SELMA
  • Facility Address: 905 MEDICAL CENTER PARKWAY
    SELMA, AL
    ZIP 36701
  • Facility Phone: 334 874-9021
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY ALFORD
  • NPI Number: 1922100304
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0665715
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMC DIALYSIS SERVICES SELMA
Street 905 MEDICAL CENTER PARKWAY
City SELMA
State AL
ZIP 36701
Phone 334 874-9021
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 TIFFANY ALFORD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025