01D0303017 CLIA NUMBER - TENNESSEE VALLEY OB-GYN CLINIC PC

Laboratory Demographics

  • Code: 01D0303017
  • Facility Name: TENNESSEE VALLEY OB-GYN CLINIC PC
  • Facility Address: 910 ADAMS STREET SE SUITE 200
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 551-6512
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • NPI Number: 1730548264
  • Taxonomy: 207LP2900X - Anesthesiology
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CLIA Record

Field Name Field Value
CLIA Number 01D0303017
LAB Type Physician Office
Facility Name TENNESSEE VALLEY OB-GYN CLINIC PC
Street 910 ADAMS STREET SE SUITE 200
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 551-6512
Certificate Type 3
Certificate Effective Date 1/1/2023
Certificate Expiration Date 12/31/2024
Facility Type PPMP

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