11D1032303 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF GA, INC DBA FKC ALMA

Laboratory Demographics

CLIA Number: 11D1032303

Facility Name: BIO-MEDICAL APPLICATIONS OF GA, INC DBA FKC ALMA

Facility Address:
415 SOUTH DIXON STREET
ALMA, GA
ZIP 31510
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Facility Phone Number: 912 632-8010

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1780175117

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1032303
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF GA, INC DBA FKC ALMA
Street	415 SOUTH DIXON STREET
City	ALMA
State	GA
ZIP	31510
Phone	912 632-8010
CertificateType	4
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Waiver

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