01D0302960 CLIA NUMBER - CREEKSIDE FAMILY PRACTICE PC

Laboratory Demographics

  • Code: 01D0302960
  • Facility Name: CREEKSIDE FAMILY PRACTICE PC
  • Facility Address: 810 FRANKLIN STREET SUITE B
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 551-6503
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • NPI Number: 1801097597
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0302960
LAB Type Physician Office
Facility Name CREEKSIDE FAMILY PRACTICE PC
Street 810 FRANKLIN STREET SUITE B
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 551-6503
Certificate Type 1
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Accreditation

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