01D0679073 CLIA NUMBER - Gadsden Dialysis

Laboratory Demographics

CLIA Number: 01D0679073

Facility Name: Gadsden Dialysis

Facility Address:
409 South First Street,
Gadsden, AL
ZIP 35901
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Facility Phone Number: (256) 547-2457

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1215900444

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0679073
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Gadsden Dialysis
Street 409 South First Street,
City Gadsden
State AL
ZIP 35901
Phone 2565472457

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