01D0675901 CLIA NUMBER - Bma Of East Mobile - 1626

Laboratory Demographics

CLIA Number: 01D0675901

Facility Name: Bma Of East Mobile - 1626

Facility Address:
1217 Government Street
Mobile, AL
ZIP 36604
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Facility Phone Number: (251) 438-6917

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1568574317

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0675901
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Bma Of East Mobile - 1626
Street 1217 Government Street
City Mobile
State AL
ZIP 36604
Phone (251) 438-6917

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This page was last updated on: 12/19/2019