01D0304540 CLIA NUMBER - EAST ALABAMA EYE CLINIC OF ANNISTON PC

Laboratory Demographics

  • Code: 01D0304540
  • Facility Name: EAST ALABAMA EYE CLINIC OF ANNISTON PC
  • Facility Address: 1029 CHRISTINE AVE
    ANNISTON, AL
    ZIP 36207
  • Facility Phone: 256 237-0371
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1841375896
  • Taxonomy: 207W00000X - Ophthalmology
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CLIA Record

Field Name Field Value
CLIA Number 01D0304540
LAB Type Physician Office
Facility Name EAST ALABAMA EYE CLINIC OF ANNISTON PC
Street 1029 CHRISTINE AVE
City ANNISTON
State AL
ZIP 36207
Phone 256 237-0371
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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