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 B
GUNTERSVILLE, AL
ZIP 35976
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Facility Phone Number: (256) 571-8969

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1043242514

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 B
City	GUNTERSVILLE
State	AL
ZIP	35976
Phone	(256) 571-8969

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This page was last updated on: 5/11/2023