01D2015165 CLIA NUMBER - TUSCALOOSA NEPHROLOGY ASSOCIATES

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Laboratory Demographics

CLIA Number: 01D2015165

Facility Name: TUSCALOOSA NEPHROLOGY ASSOCIATES

Facility Address:
1850 MCFARLAND BLVD NORTH
TUSCALOOSA, AL
ZIP 35406
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Facility Phone Number: 205 556-5541

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457308512

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2015165
LAB Type	Physician Office
Facility Name	TUSCALOOSA NEPHROLOGY ASSOCIATES
Street	1850 MCFARLAND BLVD NORTH
City	TUSCALOOSA
State	AL
ZIP	35406
Phone	205 556-5541
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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