01D0306168 CLIA NUMBER - Sumpter D Blackmon Md

Laboratory Demographics

CLIA Number: 01D0306168

Facility Name: Sumpter D Blackmon Md

Facility Address:
321 Whiskey Run Road,
Camden, AL
ZIP 36726
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Facility Phone Number: (334) 682-4128

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0306168
LAB Type PHYSICIAN OFFICE
Facility Name Sumpter D Blackmon Md
Street 321 Whiskey Run Road,
City Camden
State AL
ZIP 36726
Phone 3346824128

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This page was last updated on: 5/19/2019