01D0950541 CLIA NUMBER - BIRMINGHAM CENTRAL DIALYSIS

Laboratory Demographics

CLIA Number: 01D0950541

Facility Name: BIRMINGHAM CENTRAL DIALYSIS

Facility Address:
728 RICHARD ARRINGTON JR BLVD SOUTH
BIRMINGHAM, AL
ZIP 35233
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Facility Phone Number: 205 250-6760

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1821061300

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0950541
LAB Type	Other
Facility Name	BIRMINGHAM CENTRAL DIALYSIS
Street	728 RICHARD ARRINGTON JR BLVD SOUTH
City	BIRMINGHAM
State	AL
ZIP	35233
Phone	205 250-6760
CertificateType	4
CertificateEffectiveDate	9/4/2022
CertificateExpirationDate	9/3/2024
FacilityType	Waiver

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