01D0641726 CLIA NUMBER - Hst Co Hltcre Auth-Enterprise Med Grp

Laboratory Demographics

CLIA Number: 01D0641726

Facility Name: Hst Co Hltcre Auth-Enterprise Med Grp

Facility Address:
101 Professional Lane
Enterprise, AL
ZIP 36330
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Facility Phone Number: (334) 793-8862

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

CLIA Record

Field Name	Field Value
CLIA Number	01D0641726
LAB Type	PHYSICIAN OFFICE
Facility Name	Hst Co Hltcre Auth-Enterprise Med Grp
Street	101 Professional Lane
City	Enterprise
State	AL
ZIP	36330
Phone	3347938862

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