CLIA Code Details

Clinical Laboratory Code : 11d2012504

RAI-HWY 54-FAYETTEVILLE (END STAGE RENAL DISEASE DIALYSIS)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 11D2012504
Clinical laboratory number
Lab Name RAI-HWY 54-FAYETTEVILLE
Laboratory Name
Lab Type End Stage Renal Disease Dialysis
Laboratory Type
Certificate Type N/S (NOT SPECIFIED)
Clinical laboratory certificate type

Contacts

Phone 770-460-0136
Laboratory telephone number
Fax 770-460-0163
Fax number of the provider.

Facility Location

Street Address 1240 HIGHWAY 54 WEST
Primary location adress line
City FAYETTEVILLE
Primary location city name
State GA
Primary location state name
Zip 30214
Primary location postal code

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