01D2145843 CLIA NUMBER - FRESENIUS MEDICAL CARE OAK MOUNTAIN

Laboratory Demographics

CLIA Number: 01D2145843

Facility Name: FRESENIUS MEDICAL CARE OAK MOUNTAIN

Facility Address:
105 INVERNESS CORNERS, SUITE 104
BIRMINGHAM, AL
ZIP 35242
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Facility Phone Number: 205 981-4925

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1346768603

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2145843
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE OAK MOUNTAIN
Street	105 INVERNESS CORNERS, SUITE 104
City	BIRMINGHAM
State	AL
ZIP	35242
Phone	205 981-4925
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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