01D0304411 CLIA NUMBER - KEITH S HUGHES MD PC

Laboratory Demographics

  • Code: 01D0304411
  • Facility Name: KEITH S HUGHES MD PC
  • Facility Address: 6994 WINTON BLOUNT BLVD
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 271-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1144288606
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0304411
LAB Type Physician Office
Facility Name KEITH S HUGHES MD PC
Street 6994 WINTON BLOUNT BLVD
City MONTGOMERY
State AL
ZIP 36117
Phone 334 271-5700
Certificate Type 4
Certificate Effective Date 11/21/2022
Certificate Expiration Date 11/20/2024
Facility Type Waiver

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