11D2163419 CLIA NUMBER - RENAL ASSOCIATES OF ALBANY, LLC

Laboratory Demographics

CLIA Number: 11D2163419

Facility Name: RENAL ASSOCIATES OF ALBANY, LLC

Facility Address:
110 LOGAN COURT
ALBANY, GA
ZIP 31707
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Facility Phone Number: 706 322-1486

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205944311

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	11D2163419
LAB Type	Physician Office
Facility Name	RENAL ASSOCIATES OF ALBANY, LLC
Street	110 LOGAN COURT
City	ALBANY
State	GA
ZIP	31707
Phone	706 322-1486
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

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