01D0305009 CLIA NUMBER - OZARK MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 01D0305009

Facility Name: OZARK MEDICAL CLINIC

Facility Address:
145 KATHERINE AVENUE
OZARK, AL
ZIP 36360
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Facility Phone Number: 334 774-5116

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1598905101

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0305009
LAB Type	Physician Office
Facility Name	OZARK MEDICAL CLINIC
Street	145 KATHERINE AVENUE
City	OZARK
State	AL
ZIP	36360
Phone	334 774-5116
CertificateType	3
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	PPMP

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