01D0300158 CLIA NUMBER - CULLMAN PRIMARY CARE PC

Laboratory Demographics

  • Code: 01D0300158
  • Facility Name: CULLMAN PRIMARY CARE PC
  • Facility Address: 1800 ALABAMA HWY 157 SUITE 101
    CULLMAN, AL
    ZIP 35058
  • Facility Phone: 256 739-4131
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • NPI Number: 1164743068
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0300158
LAB Type Physician Office
Facility Name CULLMAN PRIMARY CARE PC
Street 1800 ALABAMA HWY 157 SUITE 101
City CULLMAN
State AL
ZIP 35058
Phone 256 739-4131
Certificate Type 3
Certificate Effective Date 5/24/2022
Certificate Expiration Date 5/23/2024
Facility Type PPMP

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