01D0305072 CLIA NUMBER - D W MCMILLAN MEDICAL CENTER

Laboratory Demographics

  • Code: 01D0305072
  • Facility Name: D W MCMILLAN MEDICAL CENTER
  • Facility Address: 1121 BELLEVILLE AVENUE
    BREWTON, AL
    ZIP 36426
  • Facility Phone: 251 867-6071
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • NPI Number: 1679196927
  • Taxonomy: 261QM1300X - Clinic/Center
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CLIA Record

Field Name Field Value
CLIA Number 01D0305072
LAB Type Physician Office
Facility Name D W MCMILLAN MEDICAL CENTER
Street 1121 BELLEVILLE AVENUE
City BREWTON
State AL
ZIP 36426
Phone 251 867-6071
Certificate Type 1
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Accreditation

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