01D0305899 CLIA NUMBER - AMERICAN FAMILY CARE INC - FESTIVAL CENTRE

Laboratory Demographics

  • CLIA Code: 01D0305899
  • Facility Name: AMERICAN FAMILY CARE INC - FESTIVAL CENTRE
  • Facility Address: 900 MONTLIMAR DRIVE
    MOBILE, AL
    ZIP 36609
  • Facility Phone: 251 343-5263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENUS C. ROPER
  • NPI Number: 1992724124
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 01D0305899
LAB Type Physician Office
Facility Name AMERICAN FAMILY CARE INC - FESTIVAL CENTRE
Street 900 MONTLIMAR DRIVE
City MOBILE
State AL
ZIP 36609
Phone 251 343-5263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director VENUS C. ROPER

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This page was last updated on: 3/20/2025