01D2065082 CLIA NUMBER - RED MOUNTAIN HOME TRAINING DIALYSIS

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Laboratory Demographics

CLIA Number: 01D2065082

Facility Name: RED MOUNTAIN HOME TRAINING DIALYSIS

Facility Address:
300 B 22ND ST SOUTH
BIRMINGHAM, AL
ZIP 35233
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Facility Phone Number: (205) 250-6757

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1629415609

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2065082
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	RED MOUNTAIN HOME TRAINING DIALYSIS
Street	300 B 22ND ST SOUTH
City	BIRMINGHAM
State	AL
ZIP	35233
Phone	(205) 250-6757

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