01D0671854 CLIA NUMBER - PHYSICIANS CHOICE DIALYSIS-PRATTVILLE

Laboratory Demographics

CLIA Number: 01D0671854

Facility Name: PHYSICIANS CHOICE DIALYSIS-PRATTVILLE

Facility Address:
600 MCQUEEN SMITH ROAD
PRATTVILLE, AL
ZIP 36066
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Facility Phone Number: (334) 358-1576

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1902860331

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0671854
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	PHYSICIANS CHOICE DIALYSIS-PRATTVILLE
Street	600 MCQUEEN SMITH ROAD
City	PRATTVILLE
State	AL
ZIP	36066
Phone	(334) 358-1576

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