01D0303341 CLIA NUMBER - CRESTWOOD FAMILY PRACTICE WALL TRIANA

Laboratory Demographics

CLIA Number: 01D0303341

Facility Name: CRESTWOOD FAMILY PRACTICE WALL TRIANA

Facility Address:
2903 WALL TRIANA HWY SUITE 7
HUNTSVILLE, AL
ZIP 35824
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Facility Phone Number: (256) 464-9080

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0303341
LAB Type PHYSICIAN OFFICE
Facility Name CRESTWOOD FAMILY PRACTICE WALL TRIANA
Street 2903 WALL TRIANA HWY SUITE 7
City HUNTSVILLE
State AL
ZIP 35824
Phone (256) 464-9080

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