01D1064587 CLIA NUMBER - NORTH ALABAMA HOME DIALYSIS, LLC

Laboratory Demographics

  • CLIA Code: 01D1064587
  • Facility Name: NORTH ALABAMA HOME DIALYSIS, LLC
  • Facility Address: 1216 SOMERVILLE ROAD SE
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 350-8882
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REGINALD GLADISH
  • NPI Number: 1437525557
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1064587
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH ALABAMA HOME DIALYSIS, LLC
Street 1216 SOMERVILLE ROAD SE
City DECATUR
State AL
ZIP 35601
Phone 256 350-8882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REGINALD GLADISH

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