01D0301521 CLIA NUMBER - BIRMINGHAM INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 01D0301521

Facility Name: BIRMINGHAM INTERNAL MEDICINE ASSOCIATES

Facility Address:
2022 BROOKWOOD MEDICAL CENTER DRIVE ACC, SUITE 510
BIRMINGHAM, AL
ZIP 35209
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Facility Phone Number: 205 250-8100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104879741

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0301521
LAB Type Physician Office
Facility Name BIRMINGHAM INTERNAL MEDICINE ASSOCIATES
Street 2022 BROOKWOOD MEDICAL CENTER DRIVE ACC, SUITE 510
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 250-8100
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024