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 3343581576

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