01D0303861 CLIA NUMBER - Bosc/ Dr Martin Wybenga

Laboratory Demographics

CLIA Number: 01D0303861

Facility Name: Bosc/ Dr Martin Wybenga

Facility Address:
564 N Memorial Drive,
Prattville, AL
ZIP 36066
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Facility Phone Number: (334) 358-2010

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0303861
LAB Type PHYSICIAN OFFICE
Facility Name Bosc/ Dr Martin Wybenga
Street 564 N Memorial Drive,
City Prattville
State AL
ZIP 36066
Phone 3343582010

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This page was last updated on: 5/19/2019