01D0857324 CLIA NUMBER - NEPHROLOGY AND HYPERTENSION CONSULTANT

Laboratory Demographics

CLIA Number: 01D0857324

Facility Name: NEPHROLOGY AND HYPERTENSION CONSULTANT

Facility Address:
522 EAST 11TH STREET
ANNISTON, AL
ZIP 36207
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Facility Phone Number: 256 237-5303

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447349949

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0857324
LAB Type	Physician Office
Facility Name	NEPHROLOGY AND HYPERTENSION CONSULTANT
Street	522 EAST 11TH STREET
City	ANNISTON
State	AL
ZIP	36207
Phone	256 237-5303
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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