01D0304136 CLIA NUMBER - Jackson Family Practice

Laboratory Demographics

CLIA Number: 01D0304136

Facility Name: Jackson Family Practice

Facility Address:
1801 Pine Street Suite 301
Montgomery, AL
ZIP 36106
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Facility Phone Number: (334) 265-5577

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0304136
LAB Type PHYSICIAN OFFICE
Facility Name Jackson Family Practice
Street 1801 Pine Street Suite 301
City Montgomery
State AL
ZIP 36106
Phone 3342655577

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This page was last updated on: 12/21/2017