01D0304639 CLIA NUMBER - CLAY COUNTY MEDICAL CLINIC PC

Laboratory Demographics

CLIA Number: 01D0304639

Facility Name: CLAY COUNTY MEDICAL CLINIC PC

Facility Address:
60026 HIGHWAY 49
LINEVILLE, AL
ZIP 36266
Get Directions

Facility Phone Number: 256 396-2141

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376539635

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	01D0304639
LAB Type	Physician Office
Facility Name	CLAY COUNTY MEDICAL CLINIC PC
Street	60026 HIGHWAY 49
City	LINEVILLE
State	AL
ZIP	36266
Phone	256 396-2141
CertificateType	4
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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