01D0303861 CLIA NUMBER - BAPTIST HEALTH PRIMARY CARE, PRATTVILLE

Laboratory Demographics

  • Code: 01D0303861
  • Facility Name: BAPTIST HEALTH PRIMARY CARE, PRATTVILLE
  • Facility Address: 645 MCQUEEN SMITH RD, SUITE 309
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 358-2010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1942557723
  • Taxonomy: 261QH0700X - Clinic/Center
Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0303861
LAB Type Physician Office
Facility Name BAPTIST HEALTH PRIMARY CARE, PRATTVILLE
Street 645 MCQUEEN SMITH RD, SUITE 309
City PRATTVILLE
State AL
ZIP 36066
Phone 334 358-2010
Certificate Type 4
Certificate Effective Date 6/1/2023
Certificate Expiration Date 5/31/2025
Facility Type Waiver

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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