01D0301960 CLIA NUMBER - Pickens County Primary Care Pc

Laboratory Demographics

CLIA Number: 01D0301960

Facility Name: Pickens County Primary Care Pc

Facility Address:
514 10th Avenue Sw,
Reform, AL
ZIP 35481
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Facility Phone Number: (205) 375-6251

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1104183334
261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0301960
LAB Type PHYSICIAN OFFICE
Facility Name Pickens County Primary Care Pc
Street 514 10th Avenue Sw,
City Reform
State AL
ZIP 35481
Phone 2053756251

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This page was last updated on: 5/19/2019