01D0676453 CLIA NUMBER - FMC WHETSTONE

Laboratory Demographics

  • Code: 01D0676453
  • Facility Name: FMC WHETSTONE
  • Facility Address: 676 SOUTH ALABAMA AVENUE
    MONROEVILLE, AL
    ZIP 36460
  • Facility Phone: 251 575-3452
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • NPI Number: 1972615706
  • Taxonomy: 261QE0700X - Clinic/Center
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CLIA Record

Field Name Field Value
CLIA Number 01D0676453
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMC WHETSTONE
Street 676 SOUTH ALABAMA AVENUE
City MONROEVILLE
State AL
ZIP 36460
Phone 251 575-3452
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024