01D2057091 CLIA NUMBER - ANNISTON DIALYSIS

Home > CLIA Lookup > 01D2057091

Laboratory Demographics

CLIA Number: 01D2057091

Facility Name: ANNISTON DIALYSIS

Facility Address:
1612 NOBLE STREET
ANNISTON, AL
ZIP 36201
Get Directions

Facility Phone Number: 256 237-3794

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730429507

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2057091
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ANNISTON DIALYSIS
Street	1612 NOBLE STREET
City	ANNISTON
State	AL
ZIP	36201
Phone	256 237-3794
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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