01D0304575 CLIA NUMBER - SURGICAL CLINIC-ANNISTON PA, THE

Laboratory Demographics

  • Code: 01D0304575
  • Facility Name: SURGICAL CLINIC-ANNISTON PA, THE
  • Facility Address: 171 TOWN CENTER DRIVE
    ANNISTON, AL
    ZIP 36205
  • Facility Phone: 256 237-1624
  • Facility Type: Physician Office
  • Facility Type: Waiver
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CLIA Record

Field Name Field Value
CLIA Number 01D0304575
LAB Type Physician Office
Facility Name SURGICAL CLINIC-ANNISTON PA, THE
Street 171 TOWN CENTER DRIVE
City ANNISTON
State AL
ZIP 36205
Phone 256 237-1624
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