01D0301764 CLIA NUMBER - MAUDE WHATLEY HEALTH CENTER LAB

Laboratory Demographics

CLIA Number: 01D0301764

Facility Name: MAUDE WHATLEY HEALTH CENTER LAB

Facility Address:
2731 MARTIN L KING JR BLVD
TUSCALOOSA, AL
ZIP 35401
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Facility Phone Number: 205 349-3250

Facility Type: Community Clinic

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	01D0301764
LAB Type	Community Clinic
Facility Name	MAUDE WHATLEY HEALTH CENTER LAB
Street	2731 MARTIN L KING JR BLVD
City	TUSCALOOSA
State	AL
ZIP	35401
Phone	205 349-3250
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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