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01D0301911 CLIA NUMBER - MOUNDVILLE MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 01D0301911

Facility Name: MOUNDVILLE MEDICAL CLINIC

Facility Address:
16063 HIGHWAY 69 SOUTH
MOUNDVILLE, AL
ZIP 35474
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Facility Phone Number: (205) 371-2267

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy
NPI Number: 1831139898

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 01D0301911
LAB Type PHYSICIAN OFFICE
Facility Name MOUNDVILLE MEDICAL CLINIC
Street 16063 HIGHWAY 69 SOUTH
City MOUNDVILLE
State AL
ZIP 35474
Phone (205) 371-2267

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