01D0301154 CLIA NUMBER - ALABAMA DERMATOLOGY AND REJUVENATION CENTER

Laboratory Demographics

CLIA Number: 01D0301154

Facility Name: ALABAMA DERMATOLOGY AND REJUVENATION CENTER

Facility Address:
972 MONTCLAIR ROAD, SUITE 100
BIRMINGHAM, AL
ZIP 35213
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Facility Phone Number: (205) 592-4880

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1730228628

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	01D0301154
LAB Type	PHYSICIAN OFFICE
Facility Name	ALABAMA DERMATOLOGY AND REJUVENATION CENTER
Street	972 MONTCLAIR ROAD, SUITE 100
City	BIRMINGHAM
State	AL
ZIP	35213
Phone	(205) 592-4880

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