01D0306147 CLIA NUMBER - Pediatric Adolescent Medicine Inc

Laboratory Demographics

CLIA Number: 01D0306147

Facility Name: Pediatric Adolescent Medicine Inc

Facility Address:
618 Medical Center Pkwy Suite A
Selma, AL
ZIP 36701
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Facility Phone Number: (334) 874-4843

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0306147
LAB Type PHYSICIAN OFFICE
Facility Name Pediatric Adolescent Medicine Inc
Street 618 Medical Center Pkwy Suite A
City Selma
State AL
ZIP 36701
Phone 3348744843

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This page was last updated on: 12/21/2017