01D0966875 CLIA NUMBER - BIRMINGHAM NORTH DIALYSIS

Laboratory Demographics

CLIA Number: 01D0966875

Facility Name: BIRMINGHAM NORTH DIALYSIS

Facility Address:
1917 32ND AVENUE NORTH
BIRMINGHAM, AL
ZIP 35207
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Facility Phone Number: (205) 297-9052

Facility Type: ANCILLARY TEST SITE

Certificate Type: Waiver

NPI Number: 1508839002

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0966875
LAB Type	ANCILLARY TEST SITE
Facility Name	BIRMINGHAM NORTH DIALYSIS
Street	1917 32ND AVENUE NORTH
City	BIRMINGHAM
State	AL
ZIP	35207
Phone	(205) 297-9052

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