01D0944031 CLIA NUMBER - SHOALS KIDNEY & HYPERTENSION

Laboratory Demographics

  • CLIA Code: 01D0944031
  • Facility Name: SHOALS KIDNEY & HYPERTENSION
  • Facility Address: 422 EAST DR HICKS BLVD
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 766-1401
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: RAJESH BOORGU
  • NPI Number: 1780641951
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0944031
LAB Type Physician Office
Facility Name SHOALS KIDNEY & HYPERTENSION
Street 422 EAST DR HICKS BLVD
City FLORENCE
State AL
ZIP 35630
Phone 256 766-1401
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director RAJESH BOORGU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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