01D0300393 CLIA NUMBER - COOSA VALLEY UROLOGY

Laboratory Demographics

CLIA Number: 01D0300393

Facility Name: COOSA VALLEY UROLOGY

Facility Address:
16 SOUTH DOUGLAS AVENUE
SYLACAUGA, AL
ZIP 35150
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Facility Phone Number: (256) 245-2269

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1083831804

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0300393
LAB Type	PHYSICIAN OFFICE
Facility Name	COOSA VALLEY UROLOGY
Street	16 SOUTH DOUGLAS AVENUE
City	SYLACAUGA
State	AL
ZIP	35150
Phone	(256) 245-2269

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This page was last updated on: 5/11/2023