01D0303682 CLIA NUMBER - TOMAS PINEDA MD

Laboratory Demographics

  • Code: 01D0303682
  • Facility Name: TOMAS PINEDA MD
  • Facility Address: 1105 CEDARWOOD DRIVE SW
    FORT PAYNE, AL
    ZIP 35968
  • Facility Phone: 256 845-5448
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • NPI Number: 1649209826
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0303682
LAB Type Physician Office
Facility Name TOMAS PINEDA MD
Street 1105 CEDARWOOD DRIVE SW
City FORT PAYNE
State AL
ZIP 35968
Phone 256 845-5448
Certificate Type 3
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type PPMP

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