01D0305025 CLIA NUMBER - ROBERTS CLINIC

Laboratory Demographics

CLIA Number: 01D0305025

Facility Name: ROBERTS CLINIC

Facility Address:
106 EDWINA ST
EVERGREEN, AL
ZIP 36401
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Facility Phone Number: 251 578-4300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952466211

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	01D0305025
LAB Type	Physician Office
Facility Name	ROBERTS CLINIC
Street	106 EDWINA ST
City	EVERGREEN
State	AL
ZIP	36401
Phone	251 578-4300
CertificateType	4
CertificateEffectiveDate	5/21/2022
CertificateExpirationDate	5/20/2024
FacilityType	Waiver

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