01D0304510 CLIA NUMBER - ANNISTON EAR NOSE & THROAT

Laboratory Demographics

CLIA Number: 01D0304510

Facility Name: ANNISTON EAR NOSE & THROAT

Facility Address:
901 LEIGHTON AVENUE SUITE 601
ANNISTON, AL
ZIP 36207
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Facility Phone Number: (256) 236-4426

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1659489615

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304510
LAB Type	PHYSICIAN OFFICE
Facility Name	ANNISTON EAR NOSE & THROAT
Street	901 LEIGHTON AVENUE SUITE 601
City	ANNISTON
State	AL
ZIP	36207
Phone	(256) 236-4426

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