01D0305760 CLIA NUMBER - CHILDREN'S MEDICAL GROUP

Laboratory Demographics

CLIA Number: 01D0305760

Facility Name: CHILDREN'S MEDICAL GROUP

Facility Address:
3920 AIRPORT BLVD
MOBILE, AL
ZIP 36608
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Facility Phone Number: (251) 342-3810

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1689639312

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	01D0305760
LAB Type	PHYSICIAN OFFICE
Facility Name	CHILDREN'S MEDICAL GROUP
Street	3920 AIRPORT BLVD
City	MOBILE
State	AL
ZIP	36608
Phone	(251) 342-3810

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