01D2026968 CLIA NUMBER - MAGIC CITY DIALYSIS

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Laboratory Demographics

CLIA Number: 01D2026968

Facility Name: MAGIC CITY DIALYSIS

Facility Address:
300 22ND ST SOUTH
BIRMINGHAM, AL
ZIP 35233
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Facility Phone Number: (205) 321-6178

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1881903227

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2026968
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	MAGIC CITY DIALYSIS
Street	300 22ND ST SOUTH
City	BIRMINGHAM
State	AL
ZIP	35233
Phone	(205) 321-6178

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