01D0304377 CLIA NUMBER - Jackson Hospital & Clinic Inc

Laboratory Demographics

CLIA Number: 01D0304377

Facility Name: Jackson Hospital & Clinic Inc

Facility Address:
226 Mitylene Park Dr
Montgomery, AL
ZIP 36117
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Facility Phone Number: (334) 281-7666

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1164803367

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 01D0304377
LAB Type PHYSICIAN OFFICE
Facility Name Jackson Hospital & Clinic Inc
Street 226 Mitylene Park Dr
City Montgomery
State AL
ZIP 36117
Phone (334) 281-7666

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This page was last updated on: 8/23/2021