01D0305251 CLIA NUMBER - Fairhope Gastroenterology, LLC

Laboratory Demographics

CLIA Number: 01D0305251

Facility Name: Fairhope Gastroenterology, LLC

Facility Address:
#3 Medical Park Drive
Fairhope, AL
ZIP 36532
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Facility Phone Number: (251) 928-8804

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1366594780

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 01D0305251
LAB Type PHYSICIAN OFFICE
Facility Name Fairhope Gastroenterology, LLC
Street #3 Medical Park Drive
City Fairhope
State AL
ZIP 36532
Phone (251) 928-8804

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This page was last updated on: 4/7/2021