01D0301827 CLIA NUMBER - ALABAMA MULTI-SPECIALTY GROUP PC

Laboratory Demographics

  • Code: 01D0301827
  • Facility Name: ALABAMA MULTI-SPECIALTY GROUP PC
  • Facility Address: 922 FAIRFAX PARK
    TUSCALOOSA, AL
    ZIP 35406
  • Facility Phone: 205 391-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1730255506
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0301827
LAB Type Physician Office
Facility Name ALABAMA MULTI-SPECIALTY GROUP PC
Street 922 FAIRFAX PARK
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 391-9300
Certificate Type 4
Certificate Effective Date 1/22/2023
Certificate Expiration Date 1/21/2025
Facility Type Waiver

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