01D0306320 CLIA NUMBER - PEDIATRIC ASSOCIATES OF AUBURN RICHARD M FREEMAN, MD

Laboratory Demographics

  • Code: 01D0306320
  • Facility Name: PEDIATRIC ASSOCIATES OF AUBURN RICHARD M FREEMAN, MD
  • Facility Address: 2901 CORPORATE PARK DRIVE
    OPELIKA, AL
    ZIP 36801
  • Facility Phone: 334 203-1766
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • NPI Number: 1316099203
  • Taxonomy: 2080A0000X - Pediatrics
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CLIA Record

Field Name Field Value
CLIA Number 01D0306320
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF AUBURN RICHARD M FREEMAN, MD
Street 2901 CORPORATE PARK DRIVE
City OPELIKA
State AL
ZIP 36801
Phone 334 203-1766
Certificate Type 2
Certificate Effective Date 8/3/2023
Certificate Expiration Date 8/2/2025
Facility Type Compliance

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