01D0675521 CLIA NUMBER - Phenix City Dialysis Center

Laboratory Demographics

CLIA Number: 01D0675521

Facility Name: Phenix City Dialysis Center

Facility Address:
4391 Riverchase Dr,
Phenix City, AL
ZIP 36867
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Facility Phone Number: (334) 298-0294

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1003870445

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0675521
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Phenix City Dialysis Center
Street 4391 Riverchase Dr,
City Phenix City
State AL
ZIP 36867
Phone 3342980294

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