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	(334) 298-0294

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This page was last updated on: 3/23/2022