01D0301450 CLIA NUMBER - COOPER GREEN MERCY HEALTH SERVICES AUTHORITY

Laboratory Demographics

CLIA Number: 01D0301450

Facility Name: COOPER GREEN MERCY HEALTH SERVICES AUTHORITY

Facility Address:
1515 6TH AVENUE SOUTH ATTN DAWN TAYLOR
BIRMINGHAM, AL
ZIP 35233
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Facility Phone Number: (205) 930-3340

Facility Type: COMMUNITY CLINIC

Certificate Type: Accreditation

NPI Number: 1467469502

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	01D0301450
LAB Type	COMMUNITY CLINIC
Facility Name	COOPER GREEN MERCY HEALTH SERVICES AUTHORITY
Street	1515 6TH AVENUE SOUTH ATTN DAWN TAYLOR
City	BIRMINGHAM
State	AL
ZIP	35233
Phone	(205) 930-3340

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