01D0303678 CLIA NUMBER - Dale R Stierwalt Md

Laboratory Demographics

CLIA Number: 01D0303678

Facility Name: Dale R Stierwalt Md

Facility Address:
1618 Gault Avenue North,
Fort Payne, AL
ZIP 35967
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Facility Phone Number: (256) 845-1311

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1235295627

Taxonomy: 305R00000X - Preferred Provider Organization
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

CLIA Record

Field Name Field Value
CLIA Number 01D0303678
LAB Type PHYSICIAN OFFICE
Facility Name Dale R Stierwalt Md
Street 1618 Gault Avenue North,
City Fort Payne
State AL
ZIP 35967
Phone 2568451311

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This page was last updated on: 5/19/2019