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: 3/23/2022