01D0303496 CLIA NUMBER - GADSDEN SURGERY CENTER

Laboratory Demographics

CLIA Number: 01D0303496

Facility Name: GADSDEN SURGERY CENTER

Facility Address:
418 S 5TH ST
GADSDEN, AL
ZIP 35901
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Facility Phone Number: 256 543-1253

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1962467951

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0303496
LAB Type Ambulatory Surgery Center
Facility Name GADSDEN SURGERY CENTER
Street 418 S 5TH ST
City GADSDEN
State AL
ZIP 35901
Phone 256 543-1253
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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