01D0300395 CLIA NUMBER - Coosa Valley Medical Center Laboratory

Laboratory Demographics

CLIA Number: 01D0300395

Facility Name: Coosa Valley Medical Center Laboratory

Facility Address:
315 West Hickory Street,
Sylacauga, AL
ZIP 35150
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Facility Phone Number: (256) 401-4307

Facility Type: HOSPITAL

Certificate Type: Waiver

NPI Number: 1972527265

Taxonomy: 282NR1301X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	01D0300395
LAB Type	HOSPITAL
Facility Name	Coosa Valley Medical Center Laboratory
Street	315 West Hickory Street,
City	Sylacauga
State	AL
ZIP	35150
Phone	2564014307

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