01D0302347 CLIA NUMBER - ATHENS INTERNAL MEDICINE & NEPHROLOGY

Laboratory Demographics

CLIA Number: 01D0302347

Facility Name: ATHENS INTERNAL MEDICINE & NEPHROLOGY

Facility Address:
1005 W MARKET ST SUITE 16
ATHENS, AL
ZIP 35611
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Facility Phone Number: (256) 232-0801

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1306919014

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 01D0302347
LAB Type PHYSICIAN OFFICE
Facility Name ATHENS INTERNAL MEDICINE & NEPHROLOGY
Street 1005 W MARKET ST SUITE 16
City ATHENS
State AL
ZIP 35611
Phone (256) 232-0801

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This page was last updated on: 3/23/2022