01D0303717 CLIA NUMBER - Marshall Co Pediatrics North Lab

Laboratory Demographics

CLIA Number: 01D0303717

Facility Name: Marshall Co Pediatrics North Lab

Facility Address:
45 Medical Park Drive Suite
Guntersville, AL
ZIP 35976
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Facility Phone Number: (256) 571-8969

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1003078270

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 01D0303717
LAB Type PHYSICIAN OFFICE
Facility Name Marshall Co Pediatrics North Lab
Street 45 Medical Park Drive Suite
City Guntersville
State AL
ZIP 35976
Phone (256) 571-8969

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This page was last updated on: 4/7/2021