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: 4/7/2021