01D0304302 CLIA NUMBER - UAB INTERNAL MED HEALTH CTR MONTGOMERY

Laboratory Demographics

CLIA Number: 01D0304302

Facility Name: UAB INTERNAL MED HEALTH CTR MONTGOMERY

Facility Address:
2055 E SOUTH BLVD, SUITE 202
MONTGOMERY, AL
ZIP 36116
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Facility Phone Number: 334 284-5211

Facility Type: Other

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0304302
LAB Type Other
Facility Name UAB INTERNAL MED HEALTH CTR MONTGOMERY
Street 2055 E SOUTH BLVD, SUITE 202
City MONTGOMERY
State AL
ZIP 36116
Phone 334 284-5211
CertificateType 4
CertificateEffectiveDate 11/25/2023
CertificateExpirationDate 11/24/2025
FacilityType Waiver

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