01D0715167 CLIA NUMBER - DEMOPOLIS DIALYSIS

Laboratory Demographics

  • Code: 01D0715167
  • Facility Name: DEMOPOLIS DIALYSIS
  • Facility Address: 305 S CEDAR AVENUE
    DEMOPOLIS, AL
    ZIP 36732
  • Facility Phone: 334 289-9700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • NPI Number: 1255378865
  • Taxonomy: 207P00000X - Emergency Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0715167
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DEMOPOLIS DIALYSIS
Street 305 S CEDAR AVENUE
City DEMOPOLIS
State AL
ZIP 36732
Phone 334 289-9700
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024