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
Get Directions

Facility Phone Number: 256 582-1066

Facility Type: Practitioner Other

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 Practitioner Other
Facility Name VICTORY HEALTH LLC
Street 1231 GUNTER AVE
City GUNTERSVILLE
State AL
ZIP 35976
Phone 256 582-1066
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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