01D0300037 CLIA NUMBER - NIX FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 01D0300037

Facility Name: NIX FAMILY PRACTICE

Facility Address:
33733 US HIGHWAY 280
CHILDERSBURG, AL
ZIP 35044
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Facility Phone Number: 256 378-3301

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336823632

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0300037
LAB Type	Physician Office
Facility Name	NIX FAMILY PRACTICE
Street	33733 US HIGHWAY 280
City	CHILDERSBURG
State	AL
ZIP	35044
Phone	256 378-3301
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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