01D0302603 CLIA NUMBER - LAWRENCE MEDICAL CTR, COMPLETE FAMILY CARE MD PC

Laboratory Demographics

CLIA Number: 01D0302603

Facility Name: LAWRENCE MEDICAL CTR, COMPLETE FAMILY CARE MD PC

Facility Address:
94 MEDICAL CIRCLE
MOULTON, AL
ZIP 35650
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Facility Phone Number: (256) 974-9216

Facility Type: RURAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1750802906

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	01D0302603
LAB Type	RURAL HEALTH CLINIC
Facility Name	LAWRENCE MEDICAL CTR, COMPLETE FAMILY CARE MD PC
Street	94 MEDICAL CIRCLE
City	MOULTON
State	AL
ZIP	35650
Phone	(256) 974-9216

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This page was last updated on: 5/11/2023