01D1007307 CLIA NUMBER - ROANOKE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 01D1007307
  • Facility Name: ROANOKE DIALYSIS CENTER
  • Facility Address: 4459 US HIGHWAY 431
    ROANOKE, AL
    ZIP 36274
  • Facility Phone: 334 863-8363
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MS. WADE CHADWICK
  • NPI Number: 1861483281
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1007307
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROANOKE DIALYSIS CENTER
Street 4459 US HIGHWAY 431
City ROANOKE
State AL
ZIP 36274
Phone 334 863-8363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MS. WADE CHADWICK

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