01D2230869 CLIA NUMBER - IMPERIAL HOME TRAINING

Laboratory Demographics

CLIA Number: 01D2230869

Facility Name: IMPERIAL HOME TRAINING

Facility Address:
5406 HWY 280 SUITE C100
HOOVER, AL
ZIP 35242
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Facility Phone Number: 659 599-7749

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1881265726

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2230869
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	IMPERIAL HOME TRAINING
Street	5406 HWY 280 SUITE C100
City	HOOVER
State	AL
ZIP	35242
Phone	659 599-7749
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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