01D0303750 CLIA NUMBER - DEKALB PRIMARY CARE

Laboratory Demographics

CLIA Number: 01D0303750

Facility Name: DEKALB PRIMARY CARE

Facility Address:
83 GEORGE WALLACE DRIVE
RAINSVILLE, AL
ZIP 35986
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Facility Phone Number: (256) 638-1181

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	01D0303750
LAB Type	PHYSICIAN OFFICE
Facility Name	DEKALB PRIMARY CARE
Street	83 GEORGE WALLACE DRIVE
City	RAINSVILLE
State	AL
ZIP	35986
Phone	(256) 638-1181

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