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: 4/7/2021