01D0304378 CLIA NUMBER - Montgomery Surgical Center Ltd

Laboratory Demographics

CLIA Number: 01D0304378

Facility Name: Montgomery Surgical Center Ltd

Facility Address:
470 Taylor Road Suite 100,
Montgomery, AL
ZIP 36117
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Facility Phone Number: (334) 290-4532

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1841655172

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0304378
LAB Type AMBULATORY SURGERY CENTER
Facility Name Montgomery Surgical Center Ltd
Street 470 Taylor Road Suite 100,
City Montgomery
State AL
ZIP 36117
Phone 3342904532

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