01D0305328 CLIA NUMBER - SOUTH BALDWIN MED GROUP GULF SHORES PRIMARY CARE

Laboratory Demographics

CLIA Number: 01D0305328

Facility Name: SOUTH BALDWIN MED GROUP GULF SHORES PRIMARY CARE

Facility Address:
200 OFFICE PARK DRIVE
GULF SHORES, AL
ZIP 36542
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Facility Phone Number: (251) 968-7379

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0305328
LAB Type PHYSICIAN OFFICE
Facility Name SOUTH BALDWIN MED GROUP GULF SHORES PRIMARY CARE
Street 200 OFFICE PARK DRIVE
City GULF SHORES
State AL
ZIP 36542
Phone (251) 968-7379

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This page was last updated on: 3/23/2022