01D1096946 CLIA NUMBER - OPELIKA DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 01D1096946

Facility Name: OPELIKA DIALYSIS CENTER

Facility Address:
2340 PEPPERELL PKWY
OPELIKA, AL
ZIP 36801
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Facility Phone Number: 334 745-6883

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1992983365

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1096946
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OPELIKA DIALYSIS CENTER
Street	2340 PEPPERELL PKWY
City	OPELIKA
State	AL
ZIP	36801
Phone	334 745-6883
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024