| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 012502 | (X3) Date Survey Completed 01/08/2020 |
| Name of Provider or Supplier Tuscaloosa University Dialysis | Street Address, City, State 220 15th Street, Tuscaloosa, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| V0000 | (Core) A recertification survey was conducted on 1/6/2020 to 1/8/2020 with standard level deficiencies cited. |