TUSCALOOSA UNIVERSITY DIALYSIS
NPI 1003889171
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tuscaloosa, AL

Active since February 09, 2006CLIA 01D0301780 · Waiver
220 15TH ST, TUSCALOOSA, AL 35401(205) 345-6004(205) 345-5071 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2023, Jul 22, 2020, Dec 14, 2018 (3 updates tracked since 2018).

About Tuscaloosa University Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUSCALOOSA UNIVERSITY DIALYSIS (NPI 1003889171) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tuscaloosa, Alabama and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1003889171
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE OF TUSCALOOSA LLC
Location Address220 15TH STTuscaloosa, AL 35401-3523
Mailing Address5200 Virginia Way, L & C DepartmentBrentwood, TN 37027-7569
Fax(205) 345-5071
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 9, 2006
Last NPPES UpdateOctober 14, 20243 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
NPI 1003889171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in AL · S6301
220 15TH ST, Tuscaloosa, AL 35401

Other Names 1

Doing Business AsTuscaloosa University Dialysis

Other Identifiers 1

MedicaidDIA2502DAL

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0301780
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MASOOD AHMAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tuscaloosa University Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003889171, enumerated as an "organization" on February 09, 2006.

The provider is located at 220 15TH ST TUSCALOOSA, AL 35401 and the phone number is (205) 345-6004.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.