01D0304310 CLIA NUMBER - PEDIATRIC HEALTHCARE

Laboratory Demographics

CLIA Number: 01D0304310

Facility Name: PEDIATRIC HEALTHCARE

Facility Address:
4700 WOODMERE BLVD
MONTGOMERY, AL
ZIP 36106
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Facility Phone Number: (334) 273-9700

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1437238474

Taxonomy: 282NC2000X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	01D0304310
LAB Type	PHYSICIAN OFFICE
Facility Name	PEDIATRIC HEALTHCARE
Street	4700 WOODMERE BLVD
City	MONTGOMERY
State	AL
ZIP	36106
Phone	(334) 273-9700

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