01D0672565 CLIA NUMBER - FMC TOMBIGBEE

Laboratory Demographics

CLIA Number: 01D0672565

Facility Name: FMC TOMBIGBEE

Facility Address:
215 WALKER SPRINGS ROAD
JACKSON, AL
ZIP 36545
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Facility Phone Number: (334) 246-6667

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1245342070

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0672565
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FMC TOMBIGBEE
Street	215 WALKER SPRINGS ROAD
City	JACKSON
State	AL
ZIP	36545
Phone	(334) 246-6667

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