01D0304378 CLIA NUMBER - Montgomery Surgical Center LLC

Laboratory Demographics

CLIA Number: 01D0304378

Facility Name: Montgomery Surgical Center LLC

Facility Address:
470 Taylor Road Suite 100
Montgomery, AL
ZIP 36117
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Facility Phone Number: (334) 284-9600

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 LLC
Street 470 Taylor Road Suite 100
City Montgomery
State AL
ZIP 36117
Phone (334) 284-9600

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This page was last updated on: 4/7/2021