01D0301985 CLIA NUMBER - DR BILL YATES MD PC

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Laboratory Demographics

CLIA Number: 01D0301985

Facility Name: DR BILL YATES MD PC

Facility Address:
203 19TH STREET E
JASPER, AL
ZIP 35501
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Facility Phone Number: 205 384-3481

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629276845

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	01D0301985
LAB Type	Physician Office
Facility Name	DR BILL YATES MD PC
Street	203 19TH STREET E
City	JASPER
State	AL
ZIP	35501
Phone	205 384-3481
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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