01D0302125 CLIA NUMBER - MEDICAL CLINIC OF RED BAY

Laboratory Demographics

CLIA Number: 01D0302125

Facility Name: MEDICAL CLINIC OF RED BAY

Facility Address:
209 HOSPITAL ROAD
RED BAY, AL
ZIP 35582
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Facility Phone Number: 256 356-9511

Facility Type: Physician Office

Certificate Type: Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	01D0302125
LAB Type	Physician Office
Facility Name	MEDICAL CLINIC OF RED BAY
Street	209 HOSPITAL ROAD
City	RED BAY
State	AL
ZIP	35582
Phone	256 356-9511
CertificateType	3
CertificateEffectiveDate	3/8/2023
CertificateExpirationDate	3/7/2025
FacilityType	PPMP

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