01D0675521 CLIA NUMBER - PHENIX CITY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 01D0675521
  • Facility Name: PHENIX CITY DIALYSIS CENTER
  • Facility Address: 4391 RIVERCHASE DR
    PHENIX CITY, AL
    ZIP 36867
  • Facility Phone: 334 298-0294
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJENDRAN ALAPPAN
  • NPI Number: 1003870445
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0675521
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PHENIX CITY DIALYSIS CENTER
Street 4391 RIVERCHASE DR
City PHENIX CITY
State AL
ZIP 36867
Phone 334 298-0294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJENDRAN ALAPPAN

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