01D0685280 CLIA NUMBER - RENAL CARE GROUP/ANDALUSIA

Laboratory Demographics

  • CLIA Code: 01D0685280
  • Facility Name: RENAL CARE GROUP/ANDALUSIA
  • Facility Address: 1208 WEST BYPASS
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 427-0147
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WHITLEY R. HARPER RN CM
  • NPI Number: 1003928847
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0685280
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP/ANDALUSIA
Street 1208 WEST BYPASS
City ANDALUSIA
State AL
ZIP 36420
Phone 334 427-0147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WHITLEY R. HARPER RN CM

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This page was last updated on: 6/4/2025