01D0305143 CLIA NUMBER - OPP FAMILY MEDICINE PC

Laboratory Demographics

  • Code: 01D0305143
  • Facility Name: OPP FAMILY MEDICINE PC
  • Facility Address: 604 BRANTLEY ST
    OPP, AL
    ZIP 36467
  • Facility Phone: 334 493-4472
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • NPI Number: 1891989117
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0305143
LAB Type Physician Office
Facility Name OPP FAMILY MEDICINE PC
Street 604 BRANTLEY ST
City OPP
State AL
ZIP 36467
Phone 334 493-4472
Certificate Type 3
Certificate Effective Date 9/16/2022
Certificate Expiration Date 9/15/2024
Facility Type PPMP

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