01D0305494 CLIA NUMBER - MOBILE SURGERY CENTER

Laboratory Demographics

CLIA Number: 01D0305494

Facility Name: MOBILE SURGERY CENTER

Facility Address:
6144-A AIRPORT BLVD
MOBILE, AL
ZIP 36608
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Facility Phone Number: (251) 438-3614

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1760447866

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0305494
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	MOBILE SURGERY CENTER
Street	6144-A AIRPORT BLVD
City	MOBILE
State	AL
ZIP	36608
Phone	(251) 438-3614

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This page was last updated on: 5/11/2023