01D0302541 CLIA NUMBER - WAYNE G STANLEY MD

Laboratory Demographics

CLIA Number: 01D0302541

Facility Name: WAYNE G STANLEY MD

Facility Address:
1509 CHISHOLM RD
FLORENCE, AL
ZIP 35630
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Facility Phone Number: 256 766-4110

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225193428

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0302541
LAB Type	Physician Office
Facility Name	WAYNE G STANLEY MD
Street	1509 CHISHOLM RD
City	FLORENCE
State	AL
ZIP	35630
Phone	256 766-4110
CertificateType	3
CertificateEffectiveDate	8/11/2022
CertificateExpirationDate	8/10/2024
FacilityType	PPMP

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