01D0685280 CLIA NUMBER - Renal Care Group/Andalusia

Laboratory Demographics

CLIA Number: 01D0685280

Facility Name: Renal Care Group/Andalusia

Facility Address:
1208 West Bypass
Andalusia, AL
ZIP 36420
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Facility Phone Number: (334) 427-0147

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1003928847

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0685280
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Renal Care Group/Andalusia
Street 1208 West Bypass
City Andalusia
State AL
ZIP 36420
Phone (334) 427-0147

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This page was last updated on: 4/7/2021