01D0303722 CLIA NUMBER - VICTORY HEALTH LLC

Laboratory Demographics

CLIA Number: 01D0303722

Facility Name: VICTORY HEALTH LLC

Facility Address:
1231 GUNTER AVE
GUNTERSVILLE, AL
ZIP 35976
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Facility Phone Number: (256) 582-1066

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1497283634

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	01D0303722
LAB Type	OTHER PRACTITIONER
Facility Name	VICTORY HEALTH LLC
Street	1231 GUNTER AVE
City	GUNTERSVILLE
State	AL
ZIP	35976
Phone	(256) 582-1066

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