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: Certificate of Compliance

NPI Number: 1083831804
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 2562452269

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This page was last updated on: 5/19/2019