01D1007307 CLIA NUMBER - ROANOKE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 01D1007307

Facility Name: ROANOKE DIALYSIS CENTER

Facility Address:
4459 US HIGHWAY 431
ROANOKE, AL
ZIP 36274
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Facility Phone Number: (334) 863-8363

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1861483281

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1007307
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	ROANOKE DIALYSIS CENTER
Street	4459 US HIGHWAY 431
City	ROANOKE
State	AL
ZIP	36274
Phone	(334) 863-8363

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