01D0305675 CLIA NUMBER - SURGICAL ASSOCIATION OF MOBILE PA

Laboratory Demographics

  • Code: 01D0305675
  • Facility Name: SURGICAL ASSOCIATION OF MOBILE PA
  • Facility Address: 3 MOBILE INFIRMARY CIRCLE SUITE 212
    MOBILE, AL
    ZIP 36607
  • Facility Phone: 251 433-2609
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1285731729
  • Taxonomy: 208600000X - Surgery
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CLIA Record

Field Name Field Value
CLIA Number 01D0305675
LAB Type Physician Office
Facility Name SURGICAL ASSOCIATION OF MOBILE PA
Street 3 MOBILE INFIRMARY CIRCLE SUITE 212
City MOBILE
State AL
ZIP 36607
Phone 251 433-2609
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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