01D0692344 CLIA NUMBER - Dothan Dialysis

Laboratory Demographics

CLIA Number: 01D0692344

Facility Name: Dothan Dialysis

Facility Address:
216 Graceland Drive,
Dothan, AL
ZIP 36305
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Facility Phone Number: (334) 793-4077

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1215900501

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0692344
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Dothan Dialysis
Street 216 Graceland Drive,
City Dothan
State AL
ZIP 36305
Phone 3347934077

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