01D0300037 CLIA NUMBER - NIX FAMILY PRACTICE

Laboratory Demographics

  • Code: 01D0300037
  • Facility Name: NIX FAMILY PRACTICE
  • Facility Address: 33733 US HIGHWAY 280
    CHILDERSBURG, AL
    ZIP 35044
  • Facility Phone: 256 378-3301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1336823632
  • Taxonomy: 261QR1300X - Clinic/Center
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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
Certificate Type 4
Certificate Effective Date 5/27/2023
Certificate Expiration Date 5/26/2025
Facility Type Waiver

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