01D0908265 CLIA NUMBER - DIALYSIS CLINIC INC - CULLMAN

Laboratory Demographics

  • CLIA Code: 01D0908265
  • Facility Name: DIALYSIS CLINIC INC - CULLMAN
  • Facility Address: 1734 EVA ROAD NE
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 734-3055
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REGINALD GLADISH
  • NPI Number: 1063445443
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0908265
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC - CULLMAN
Street 1734 EVA ROAD NE
City CULLMAN
State AL
ZIP 35055
Phone 256 734-3055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REGINALD GLADISH

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This page was last updated on: 9/29/2025