01D0302002 CLIA NUMBER - Dr Tai's Clinic

Laboratory Demographics

CLIA Number: 01D0302002

Facility Name: Dr Tai's Clinic

Facility Address:
2401 Viking Drive,
Jasper, AL
ZIP 35501
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Facility Phone Number: (205) 221-5714

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1205817947
207QA0505X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0302002
LAB Type PHYSICIAN OFFICE
Facility Name Dr Tai's Clinic
Street 2401 Viking Drive,
City Jasper
State AL
ZIP 35501
Phone 2052215714

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