01D0950577 CLIA NUMBER - ENSLEY DIALYSIS

Laboratory Demographics

CLIA Number: 01D0950577

Facility Name: ENSLEY DIALYSIS

Facility Address:
2630 AVE E
BIRMINGHAM, AL
ZIP 35218
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Facility Phone Number: (205) 786-1371

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1164495461

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0950577
LAB Type	OTHER
Facility Name	ENSLEY DIALYSIS
Street	2630 AVE E
City	BIRMINGHAM
State	AL
ZIP	35218
Phone	(205) 786-1371

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This page was last updated on: 5/11/2023